NICOLE ETHRIDGE, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1922733484
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | - |
Frequently Asked Questions
NPI 1922733484 is the National Provider Identifier for NICOLE ETHRIDGE, PTA, a Physical Therapy Assistant provider located in Flora, IL. This NPI was enumerated on July 19, 2022.
NICOLE ETHRIDGE, PTA practices at 701 SHADWELL AVE, Flora, IL 62839.
Quick Facts
- NPI
- 1922733484
- Type
- Individual
- Enumerated
- Jul 19, 2022
- Last Updated
- Jul 19, 2022
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