Individual
LISA FAYE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
731 LEIGHTON AVE, ANNISTON, AL 36207-5761
(256) 235-5688
(256) 235-5590
Mailing address
731 LEIGHTON AVE, ANNISTON, AL 36207-5761
(256) 235-5688
(256) 235-5590
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
832
AL
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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