Phyllis Nickell
NPI #1720605512 in Maxwelton, West Virginia
Provider Information
- NPI Number
- 1720605512
- Entity Type
- Individual
- Name
- Phyllis Nickell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Jun 29, 2020
- Last Updated
- Jun 29, 2020
Practice Location
- Address
- 804 INDUSTRIAL PARK RD
- City
- Maxwelton
- State
- West Virginia
- ZIP Code
- 24957-8066
- Phone
- (304) 497-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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