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Individual

ERICA MOORE NICHOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
323 SAM RIDLEY PKWY W, SMYRNA, TN 37167-5625
(615) 751-5211
(615) 751-8049
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8930
(423) 285-6647

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10620
TN

Other

Enumeration date
05/09/2014
Last updated
08/06/2015
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