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NPI Code Detail

MEDICARE: NICOLE ELISEE

MEDICARE: NICOLE ELISEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOC009396PA

General Provider Information

NPI Number : 1699892539
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE ELISEE
Provider Business Mailing Address
First Line : 1798 LENAPE UNIONVILLE RD
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-6920
Country : US
Telephone Number : 302-234-5420
Fax Number :
Provider Business Practice Location Address
First Line : 100 SAINT CLAIRE DR
Second Line :
City : HOCKESSIN
State : DE
Zip : 19707-8906
Country : US
Telephone Number : 302-234-5420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2007
Last Update Date : 07/08/2007

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Directions to “ NICOLE ELISEE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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