Individual
ANDREW A NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1201 MAIN ST, UNION GROVE, WI 53182-1303
(262) 878-9602
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/20/2016
Last updated
02/25/2019
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