Individual
LYNDSEY BROOKE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
500 SPRING ST SE STE 101, GAINESVILLE, GA 30501-3773
(770) 615-7676
Mailing address
500 SPRING ST SE STE 101, GAINESVILLE, GA 30501-3773
(770) 615-7676
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT015544
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
841619876
—
GA
Enumeration date
08/19/2021
Last updated
08/19/2021
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