Individual
JESSE NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
73 VALLEY RD, MIDDLETOWN, RI 02842-5234
(401) 289-2170
(401) 289-2634
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03937
RI
Other
Enumeration date
02/18/2025
Last updated
02/27/2025
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