WANDA KAY AGENT NICHOLSON

JEFFERSON CITY, TN
NPI1902056740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  PT564)
Enumeration Date2008-09-29
Last Update Date2008-10-05
Business Address
-- WANDA KAY AGENT NICHOLSON PT
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760-2302
Phone number: 865-475-9967
Mailing Address
-- WANDA KAY AGENT NICHOLSON PT
166 SEQUOIAH LN
JEFFERSON CITY, TN 37760-3428
Phone number: 865-475-9967
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