Individual
BENJAMIN SCOTT NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6469 E ANDREWS AVE, FRESNO, CA 93727-8924
(209) 814-7605
Mailing address
6469 E ANDREWS AVE, FRESNO, CA 93727-8924
(209) 814-7605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
36401
CA
Other
Enumeration date
08/06/2014
Last updated
01/03/2022
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