| Doctor Name: | MS. BETH GARDNER NICHOLSON |
| NPI Number: | 1194809608 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR, CHT |
| License Number: | 0133 |
| Business Practice Address: | 3234 Cahaba Heights Rd Vestavia, AL - 352431614 |
| Business Phone Number: | 2053838579 |
| Business Fax Number: | 2052989103 |
| Mailing Address: | 3269 Brook Highland Trce, BIRMINGHAM |
| State: | AL |
| Postal Code: | 352425814 |
| Phone Number: | 2059817167 |
| Fax Number: | 2052989013 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 11/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 0133 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |