MS. Jessie Nicholson, PTA
NPI #1679284327 in Purcellville, Virginia
Provider Information
- NPI Number
- 1679284327
- Entity Type
- Individual
- Name
- MS. Jessie Nicholson, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Dec 13, 2022
- Last Updated
- Dec 13, 2022
Practice Location
- Address
- 170 W MAIN ST
- City
- Purcellville
- State
- Virginia
- ZIP Code
- 20132-5827
- Phone
- (703) 313-2286
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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Organizations
| Provider Name | |
|---|---|
| Shoreline Rehabilitation Services, LLC |
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