JACQUELINE NICHOLAS

HURRICANE, WV
NPI1013304229
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  PTA000927)
Enumeration Date2015-04-26
Last Update Date2015-04-26
Business Address
-- JACQUELINE NICHOLAS
300 SEVILLE RD
HURRICANE, WV 25526-9206
Phone number: 304-757-6805
Mailing Address
-- JACQUELINE NICHOLAS
3457 BRADLEY RD
HUNTINGTON, WV 25704-2726
Phone number: 304-617-2006