Individual
EDWARD NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
236 PONTE VEDRA PARK DR STE 300, PONTE VEDRA, FL 32082-6619
(904) 280-3440
(904) 280-3444
Mailing address
PO BOX 441146, KENNESAW, GA 30160-9522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT32237
FL
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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