Individual provider · Type 1 NPI

Willie Nicholson

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1073011243 Active

Practice location

6957 N Figueroa St
Los Angeles, CA 90042

Call (323) 443-3175 Map

Mailing address

1945 Hillhurst Ave Apt 2
Los Angeles, CA 90027-2732

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
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.

106 other providers at this address

Other rehabilitation practitioner providers in Los Angeles

See all in Los Angeles →

About NPI 1073011243

Willie Nicholson's National Provider Identifier is 1073011243, issued on Jan 23, 2018. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on May 29, 2018.