Provider Demographics
NPI:1407040124
Name:NICHOLAS-KARL, MORRETTE SOPHIA (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:MORRETTE
Middle Name:SOPHIA
Last Name:NICHOLAS-KARL
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:2252 WAYCROSS RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2743
Mailing Address - Country:US
Mailing Address - Phone:513-742-2333
Mailing Address - Fax:513-742-0943
Practice Address - Street 1:6432 LAKE WORTH RD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3008
Practice Address - Country:US
Practice Address - Phone:561-433-1884
Practice Address - Fax:561-433-1885
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPT23434225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist