Individual
NICOLE DAWN GRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14103 BECKLEY TRCE, LOUISVILLE, KY 40245-4607
(502) 744-2226
Mailing address
14103 BECKLEY TRCE, LOUISVILLE, KY 40245-4607
(502) 744-2226
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03989
KY
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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