Isidora Nichols, ATC, LAT
NPI #1194065870 in Saint Johns, Florida
Provider Information
- NPI Number
- 1194065870
- Entity Type
- Individual
- Name
- Isidora Nichols, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Feb 18, 2013
- Last Updated
- Feb 18, 2013
Practice Location
- Address
- 115 BARTRAM OAKS WALK
- Address 2
- STE. 104
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-3243
- Phone
- (904) 240-0471
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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