Individual
MR. ERIK BURTON NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
312 W J ST, LOS BANOS, CA 93635-4073
(209) 827-6178
Mailing address
45307 CALLESITO BURGOS, TEMECULA, CA 92592-1097
(951) 514-5241
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
23713
CA
2251N0400X
Neurology Physical Therapist
Primary
23713
CA
2251X0800X
Orthopedic Physical Therapist
23713
CA
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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