Rebecca Nickson, PTA

NPI #1790218477 in Wakefield, Rhode Island

Provider Information

NPI Number: 1790218477
Entity Type: Individual
Name: Rebecca Nickson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 10, 2017
Last Updated: Apr 10, 2017

Practice Location

Address: 10 HIGH ST
City: Wakefield
State: Rhode Island
ZIP Code: 02879-3176
Phone: (401) 783-8077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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