MRS. Nichole Lew, ATC - PTA
NPI #1114044971 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1114044971
- Entity Type
- Individual
- Name
- MRS. Nichole Lew, ATC - PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- ATC - PTA
- Enumeration Date
- Mar 24, 2007
- Last Updated
- Jun 20, 2019
Practice Location
- Address
- 25117 SW PARKWAY AVE STE D
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070-9697
- Phone
- (503) 570-3665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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