| Doctor Name: | MRS. DONNA SOAVE NICHOLS |
| NPI Number: | 1710987359 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT15569 |
| Business Practice Address: | 7328 Thomas Dr Suite G Panama City, FL - 324087500 |
| Business Phone Number: | 8502363424 |
| Business Fax Number: | |
| Mailing Address: | 210 Summerwood Dr, PANAMA CITY |
| State: | FL |
| Postal Code: | 324135731 |
| Phone Number: | 8508963405 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2005 |
| NPI Last Update Date: | 08/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT15569 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |