Individual
BETH ANNE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC
Contact information
Practice address
8155 OLIVER RD, ERIE, PA 16509-4683
(814) 866-5930
Mailing address
932 W 9TH ST, APT. 2, ERIE, PA 16502-1129
(814) 453-3469
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE005043L
PA
2255A2300X
Athletic Trainer
RT001659A
PA
Other
Enumeration date
04/20/2007
Last updated
09/11/2025
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