Brooke Renee Nicholson, DPT, PT

NPI #1639996838 in Lake Stevens, Washington

Provider Information

NPI Number: 1639996838
Entity Type: Individual
Name: Brooke Renee Nicholson, DPT, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT, PT
Enumeration Date: Sep 20, 2024
Last Updated: Nov 11, 2024

Practice Location

Address: 1109 FRONTIER CIR E STE B
City: Lake Stevens
State: Washington
ZIP Code: 98258-3442
Phone: (425) 609-8075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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