Individual
CHELSEA S NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4341 PIEDMONT AVE STE 201, OAKLAND, CA 94611-4792
(510) 547-1630
(510) 923-1944
Mailing address
4341 PIEDMONT AVE STE 201, OAKLAND, CA 94611-4792
(510) 547-1630
(510) 923-1944
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
297438
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
297438
STATE OF CALIFORNIA BOARD OF PHYSICAL THERAPY
CA
Enumeration date
10/07/2019
Last updated
04/17/2020
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