Individual
BETH MARIE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1122 W DIVIDE AVE, BISMARCK, ND 58501-1202
(701) 258-5058
(701) 258-1041
Mailing address
1122 W DIVIDE AVE, BISMARCK, ND 58501-1202
(406) 585-1002
(701) 258-1041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2076
MT
Other
Enumeration date
03/11/2008
Last updated
07/21/2022
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