Individual
CALLIE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 1ST ST N, SUITE 200, JACKSONVILLE BEACH, FL 32250-6945
(866) 387-5038
Mailing address
333 1ST ST N, SUITE 200, JACKSONVILLE BEACH, FL 32250-6945
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2085459
TX
225200000X
Physical Therapy Assistant
Primary
PTA22158
FL
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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