Individual
CARLA MARIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1313 S SADDLE CREEK RD, OMAHA, NE 68106-2402
(402) 933-0100
Mailing address
2806 YORKTOWN ST, BELLEVUE, NE 68123-4489
(712) 899-3373
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2090801
TX
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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