Individual
AMANDA F NICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
75 EVELYN DR, MILLERSBURG, PA 17061-1258
(717) 692-4708
(717) 692-5464
Mailing address
1043 HEMLOCK LN, ENOLA, PA 17025-2043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015093
PA
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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