Jacqueline Nicholas
Physical Therapy Assistant
300 Seville Rd
Hurricane
, West Virginia 25526-9206
Jacqueline Nicholas
Physical Therapy Assistant
300 Seville Rd
Hurricane
, West Virginia 25526-9206
(304) 617-2006
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Jacqueline Nicholas
- 3457 Bradley Rd
- Huntington, WV
- Zip : 25704-2726
- Phone : (304) 617-2006
Second Address
- Jacqueline Nicholas
- 300 Seville Rd
- Hurricane, WV
- Zip : 25526-9206
- Phone : (304) 757-6805
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA000927 | WV |
National Provider Identifier
| NPI | 1013304229 |
|---|---|
| Provider Name | Jacqueline Nicholas |
| First Address | Huntington, WV 25704-2726 |
| Second Address | Hurricane, WV 25526-9206 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2015 |
| Last Update Date | 26/04/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.