Individual
ALLAN ROMINE NICHOLS
Active
Individual
ALLAN ROMINE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008362
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195813
LABOR & INDUSTRIES
WA
01
—
7166701
AETNA
—
05
—
8424244
—
WA
01
—
8918NI
REGENCE BLUESHIELD
—
Enumeration date
06/20/2006
Last updated
03/26/2018
Update your record
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