Individual
NICHOLE ASHTON ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8906 PEMBROKE ELLIS DR, BARTLETT, TN 38133-3813
(901) 626-0069
Mailing address
8906 PEMBROKE ELLIS DR, BARTLETT, TN 38133-3813
(901) 626-0069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11310
TN
Other
Enumeration date
06/23/2017
Last updated
08/15/2019
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