NPI 1053820019

Patricia Renee Nichols, PTA

Practitioner Physical Medicine & Rehabilitation Physician Smithfield, NC

Practice location

Address: 250 Nc Highway 210, Smithfield, NC 27577-6970
Phone: (919) 300-6507
Mailing address: 288 Albemarle Dr, Clayton, NC 27527-4218

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 5947 (NC)

Other Physical Medicine & Rehabilitation providers in North Carolina →

Registry record

NPI: 1053820019
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2017
Record last updated: 21 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.