Individual
MRS. ELIZABETH ANN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2400 W MALLARD CREEK CHURCH RD, CHARLOTTE, NC 28262-2324
(704) 323-2108
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P3905
NC
Other
Enumeration date
12/21/2005
Last updated
12/17/2024
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