Ms. Molly Beth Nickerson
Rehabilitation Practitioner
923 S Catalina Ave
Redondo Beach
, California 90277-4718
Ms. Molly Beth Nickerson
Rehabilitation Practitioner
923 S Catalina Ave
Redondo Beach
, California 90277-4718
(310) 793-6360
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Ms. Molly Beth Nickerson
- 601 S Prospect Ave Unit 306
- Redondo Beach, CA
- Zip : 90277-4456
- Phone : (310) 793-6360
Second Address
- Ms. Molly Beth Nickerson
- 923 S Catalina Ave
- Redondo Beach, CA
- Zip : 90277-4718
- Fax : (310) 792-5463
- Phone : (310) 792-5454
Reviews
FAQs
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What type of doctor is Ms. Molly Beth Nickerson
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Is Ms. Molly Beth Nickerson a sole practitioner?
Is Ms. Molly Beth Nickerson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1053560573 |
|---|---|
| Provider Name | Ms. Molly Beth Nickerson |
| First Address | Redondo Beach, CA 90277-4456 |
| Second Address | Redondo Beach, CA 90277-4718 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/09/2008 |
| Last Update Date | 19/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1053560573 | (05) | CA |
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.