Individual
MRS. DANA MARIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
41680 MISS BESSIE DR, SUITE 103, LEONARDTOWN, MD 20650-2906
(240) 256-3711
(240) 256-3612
Mailing address
41680 MISS BESSIE DR, SUITE 103, LEONARDTOWN, MD 20650-2906
(240) 256-3711
(240) 256-3612
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3072
MD
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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