Individual
SOFIA MARIA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
409 FRETZ AVE, SUITE D, EDMOND, OK 73003-5570
(405) 471-5772
Mailing address
1105 W APACHE ST, NORMAN, OK 73069-5408
(405) 476-9401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1930
OK
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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