Individual
MARY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10320 W MCDOWELL RD. BLDG I, SUITE 9030-A, AVONDALE, AZ 85392
(623) 683-7664
Mailing address
7641 E SANDALWOOD DR, SCOTTSDALE, AZ 85250-7734
(541) 840-0153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-033414
AZ
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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