Individual
MR. RICHARD HOUSTON NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 766-1722
Mailing address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 766-1722
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 002106
WV
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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