WENDY LEE NICHOLLLS PTA
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine
Provider Information
- NPI Number
1356823058- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 4949 COOLIDGE HWY, ROYAL OAK, MI, 480731026
- Phone
- (248) 655-5660
- Fax
- (248) 655-5662
Specialties & Taxonomies
Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine
Primary License: MI #5502000828