Devon Nicely, PTA

NPI #1285114702 in Anderson, California

Provider Information

NPI Number: 1285114702
Entity Type: Individual
Name: Devon Nicely, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 14, 2018
Last Updated: Aug 14, 2018

Practice Location

Address: 1920 BARNEY RD
City: Anderson
State: California
ZIP Code: 96007-4337
Phone: (193) 775-0024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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