JUSTIN NICHOLS

RIDGELAND, MS
NPI1043627144
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT-5535)
Enumeration Date2014-07-21
Last Update Date2014-07-21
Business Address
-- JUSTIN NICHOLS PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
-- JUSTIN NICHOLS PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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