| NPI | 1205384898 |
|---|---|
| Former Name | EMILY NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 291661) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60689941) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2021-04-29 |