MRS. Nickole Leanne Mccollum, DPT

NPI #1720359755 in Blue Ridge, Georgia

Provider Information

NPI Number
1720359755
Entity Type
Individual
Name
MRS. Nickole Leanne Mccollum, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Jan 23, 2012
Last Updated
Jan 23, 2012

Practice Location

Address
3798 E FIRST ST
State
Georgia
ZIP Code
30513-4514
Phone
(706) 632-7168

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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