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1710677976
NICHOLAS TODD ALLEN
RUSSELL, KY
NPI
1710677976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A02811)
Enumeration Date
2023-05-11
Last Update Date
2023-05-11
Business Address
NICHOLAS TODD ALLEN PTA
1000 ADDINGTON DR
RUSSELL, KY 41169-1836
Phone number: 606-833-1120
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Mailing Address
NICHOLAS TODD ALLEN PTA
38 PRIVATE DRIVE 706
CHESAPEAKE, OH 45619-8036
Phone number: 304-690-2883
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