Individual
MRS. DONNA SOAVE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7328 THOMAS DR, SUITE G, PANAMA CITY, FL 32408-7500
(850) 236-3424
Mailing address
210 SUMMERWOOD DR, PANAMA CITY, FL 32413-5731
(850) 896-3405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT15569
FL
Other
Enumeration date
07/26/2005
Last updated
08/14/2012
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