Nicole Tanya Nichols in South Pasadena - Rehabilitation Practitioner

Nicole Tanya Nichols - NPI 1558490292

Nicole Tanya Nichols is a Rehabilitation Practitioner in South Pasadena, California. Nicole Tanya Nichols practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Nicole Tanya Nichols is 1558490292. The last update date is 2007-07-08.

Nicole Tanya Nichols's current location address is 625 Fair Oaks Ave, South Pasadena, California. You can contact this provider via phone number 6263957100. The mailing address for Nicole Tanya Nichols is 625 Fair Oaks Ave, South Pasadena, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicole Tanya Nichols
Address 625 Fair Oaks Ave, South Pasadena, California
Phone Number 6263957100
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1558490292
Provider Enumeration Date 2007-03-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 625 Fair Oaks Ave
City South Pasadena
State California (CA)
Post Code 910302630
Phone Number 6263957100
Fax Number

Provider's Primary Taxonomy Detail

Speciality Rehabilitation Practitioner
Taxonomy 225400000X
Definition:
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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FAQs about Nicole Tanya Nichols

What is the unique 10-digit identifier code issued to Nicole Tanya Nichols by the Centers for Medicare & Medicaid Services?

The Nicole Tanya Nichols has been assigned the NPI (National Provider Identifier) 1558490292 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Nicole Tanya Nichols is located?

The Nicole Tanya Nichols is situated at the following address: 625 Fair Oaks Ave, South Pasadena, CA, 910302630.

What is Nicole Tanya Nichols's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Nicole Tanya Nichols's specialized field of practice is Rehabilitation Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 225400000X.

On what date did Nicole Tanya Nichols receive its 1558490292 assignment from the Centers for Medicare & Medicaid Services?

The Nicole Tanya Nichols was assigned its 1558490292 on 2007-03-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Nicole Tanya Nichols most recently updated or revised?

The details related to Nicole Tanya Nichols, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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