Individual
DAISY NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30551 STEPHENSON HWY STE B, MADISON HEIGHTS, MI 48071
(248) 556-5008
(248) 951-8924
Mailing address
2605 GOLFVIEW DR APT 104, TROY, MI 48084-3801
(586) 822-0798
(248) 823-5910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014577
MI
Other
Enumeration date
09/16/2015
Last updated
08/08/2018
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