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NPI Code Detail

MEDICARE: NANCY NICHOLSON OT

MEDICARE: NANCY NICHOLSON OT
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
1225XP0200XPediatric Occupational Therapist5136OH

General Provider Information

NPI Number : 1982845335
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY NICHOLSON OT
Provider Business Mailing Address
First Line : 6276 PATTSBURG ROAD
Second Line :
City : SOUTH CHARLESTON
State : OH
Zip : 45368
Country : US
Telephone Number : 937-408-2829
Fax Number : 937-284-8186
Provider Business Practice Location Address
First Line : 6276 LONDON PLATTSBURG RD
Second Line :
City : SOUTH CHARLESTON
State : OH
Zip : 45368-8801
Country : US
Telephone Number : 937-408-2829
Fax Number : 937-284-8186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2009
Last Update Date : 03/16/2009

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Directions to “ NANCY NICHOLSON OT” Practice Location

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