Individual
NICHOLAS LEE PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
319 W 3RD ST, JAMESTOWN, NY 14701-4933
(309) 236-5258
Mailing address
609 LAKEVIEW AVE APT 1, JAMESTOWN, NY 14701-3131
(309) 236-5258
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003911
NY
Other
Enumeration date
08/03/2017
Last updated
12/04/2019
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