Wilson Orthopedic And Sports Pt

NPI 1003088667 - Clinic/Center - 261QP2000X

NPI Details
NPI 1003088667
Enumeration Date 03/24/2008
Last Updated 03/24/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name NICHOLAS D NICHOLAS
Position PT/OWNER
Phone (419) 300-8400
Fax (419) 300-8401
Practice Location
476 FORTMAN DR
SAINT MARYS OH, 45885-1870, US
Phone (419) 300-8400
Fax (419) 300-8401
Business Location
476 FORTMAN DR
SAINT MARYS OH, 45885-1870, US
Phone (419) 300-8400
Fax (419) 300-8401
Toxanomy
Taxonomy Code 261QP2000X
License State
License Number
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According to our database, Wilson Orthopedic And Sports Pt NPI is 1003088667, taxonomy code is 261QP2000X Wilson Orthopedic And Sports Pt physically located at 476 Fortman Dr, Saint Marys OH, 45885-1870. NPI Number 1033115704 has the healthcare provider type.

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1003088667 NPI number is provided on an as is basis without warranty of any kind. 1003088667 is maintained by the National Plan & Provider Enumeration System. The contents of Wilson Orthopedic And Sports Pt are for informational purposes only.