Individual
DR. BRYAN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1518 WALNUT ST STE 401, PHILADELPHIA, PA 19102-3403
(267) 777-9872
Mailing address
1500 WALNUT ST STE 7001A, PHILADELPHIA, PA 19102-3523
(267) 777-9872
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT025855
PA
Other
Enumeration date
03/25/2013
Last updated
01/16/2020
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