Individual
NICHOLAS R VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3504 FLINT ST, GREENSBORO, NC 27405-3488
(336) 298-8601
Mailing address
2641 GREENCREST DR, WINSTON SALEM, NC 27106-3807
(336) 300-5266
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6518
NC
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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