Individual
CAMILLA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 INDIANA AVE, SAINT MARYS, OH 45885-1309
(419) 394-3258
Mailing address
1899 LOWELL AVE, LIMA, OH 45805-3125
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6206
OH
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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