Individual provider · Type 1 NPI

Molly Beth Nickerson, MSW, ACSW

Rehabilitation Practitioner · Redondo Beach, CA

NPI number 1053560573 Active

Practice location

923 S Catalina Ave
Redondo Beach, CA 90277-4718

Call (310) 792-5454 Map

Fax (310) 792-5463

Mailing address

601 S Prospect Ave, Unit 306
Redondo Beach, CA 90277-4456

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: 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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About NPI 1053560573

Molly Beth Nickerson, MSW, ACSW's National Provider Identifier is 1053560573, issued on Sep 9, 2008. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Redondo Beach, CA. The record was last updated on Jan 19, 2017.