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Individual
MRS. SHANTE NICHOLS-LOCKWOOD
Active
Individual
MRS. SHANTE NICHOLS-LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7233
CA
225XP0200X
Pediatric Occupational Therapist
7233
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7233
OT LICENSE
CA
Enumeration date
06/15/2006
Last updated
02/02/2022
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