Individual
JULIA MARIE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
90 HUDSON ST, HOBOKEN, NJ 07030-5649
(201) 798-2922
Mailing address
109 HUTTON ST APT 6, JERSEY CITY, NJ 07307-3015
(909) 573-5951
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00354300
NJ
Other
Enumeration date
09/02/2018
Last updated
09/02/2018
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