Individual
LINDA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423
(269) 857-3518
Mailing address
3644 62ND ST, SAUGATUCK, MI 49453-9702
(269) 857-4691
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001343
MI
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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