Nichols & Associates Physical Theraphy Specialist Inc | |
4032 Thomas Dr Ste 101a, Panama City, FL 32408 | |
(850) 236-3424 | |
(850) 236-2487 |
Full Name | Nichols & Associates Physical Theraphy Specialist Inc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 4032 Thomas Dr Ste 101a, Panama City, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679593115 | NPI | - | NPPES |
372484863 | Other | FL | TRICARE |
Y087W | Other | FL | BCBS OF FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT15569 (Florida) | Primary |
Provider Name | Donna Nichols |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710987359 PECOS PAC ID: 4284650078 Enrollment ID: I20051021000271 |
Mailing Address | Practice Location Address |
---|---|
Nichols & Associates Physical Theraphy Specialist Inc 4032 Thomas Dr Ste 101a, Panama City, FL 32408-6861 Ph: (850) 236-3424 | Nichols & Associates Physical Theraphy Specialist Inc 4032 Thomas Dr Ste 101a, Panama City, FL 32408 Ph: (850) 236-3424 |
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