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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WENDY LEE NICHOLLLS, PTA

Active

WENDY LEE NICHOLLLS, PTA is a Pediatric Rehabilitation Medicine healthcare provider located in ROYAL OAK, Michigan. NPI 1356823058 is currently active in the NPPES registry. Verify at CMS.

Pediatric Rehabilitation Medicine · ROYAL OAK, MI

Registration Details

NPI Number
1356823058
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2018 (7.9937300925295 yrs)
Last Updated
Aug 30, 2018
License
5502000828 (MI)

Practice Information

Address
4949 COOLIDGE HWY
ROYAL OAK, MI, 480731026
Browse MI providers · Browse ZIP 48073
Phone
2486555660
Fax
2486555662
Primary Specialty
Pediatric Rehabilitation Medicine
2081P0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.