Angela Nichols PTA

NPI 1427468685 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1427468685
Gender Female
Enumeration Date 04/28/2014
Last Updated 04/28/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1043 WASHINGTON RD
THOMSON GA, 30824-7318, US
Phone (706) 597-1190
Fax (706) 597-1191
Business Location
1156 COUNTY LINE RD
HARLEM GA, 30814-3805, US
Phone (706) 597-1190
Fax (706) 597-1191
Toxanomy
Taxonomy Code 225200000X
License State Georgia
License Number PTA000561
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According to our database, Ms. Angela Nichols PTA NPI is 1427468685, taxonomy code is 225200000X and license number is PTA000561, license state is located at Georgia. Angela Nichols PTA physically located at 1043 Washington Rd, Thomson GA, 30824-7318. NPI Number Angela Nichols PTA has the Individual type.

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1427468685 NPI number is provided on an as is basis without warranty of any kind. 1427468685 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Nichols PTA are for informational purposes only.