Andrew Nuckolls

NPI #1932530730 in Woodland, Washington

Provider Information

NPI Number: 1932530730
Entity Type: Individual
Name: Andrew Nuckolls
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Dec 3, 2013
Last Updated: Dec 3, 2013

Practice Location

Address: 310 4TH ST
City: Woodland
State: Washington
ZIP Code: 98674-8488
Phone: (360) 225-9443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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