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1265821557
ELLEN NICHOLSON
LOUISVILLE, KY
NPI
1265821557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06004128A)
Enumeration Date
2015-01-09
Last Update Date
2015-01-09
Business Address
-- ELLEN NICHOLSON PTA
303 N HURSTBOURNE PKWY STE 200
LOUISVILLE, KY 40222-5158
Phone number: 502-412-5846
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Mailing Address
-- ELLEN NICHOLSON PTA
8437 COUNTRY CLUB BLVD
INDIANAPOLIS, IN 46234-1850
Phone number:
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