Individual
KATHY RENEE NICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
11135 S JOG RD, SUITE 1, BOYNTON BEACH, FL 33437-1807
(561) 752-3820
Mailing address
11135 S JOG RD, SUITE 1, BOYNTON BEACH, FL 33437-1807
(561) 752-3820
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14227
FL
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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