Willie Nicholson is a rehabilitation practitioner in Los Angeles, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Willie Nicholson NPI is 1073011243. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6957 N FIGUEROA ST
LOS ANGELES, CA
ZIP 90042
Phone: (323) 443-3175
The enumeration date for this NPI number is 1/23/2018 and was last updated on 5/29/2018.