Individual
MS. JANE M. NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8601 E B ST, TACOMA, WA 98445-2227
(253) 571-6276
Mailing address
8601 E B ST, TACOMA, WA 98445-2227
(253) 571-6276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003183
WA
Other
Enumeration date
10/26/2012
Last updated
11/06/2012
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