Camilla Nichols

NPI #1669604021 in Saint Marys, Ohio

Provider Information

NPI Number: 1669604021
Entity Type: Individual
Name: Camilla Nichols
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 19, 2009
Last Updated: Aug 19, 2009

Practice Location

Address: 1200 INDIANA AVE
City: Saint Marys
State: Ohio
ZIP Code: 45885-1309
Phone: (419) 394-3258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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