Individual
NICOLE MARIE CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 690-2600
(715) 381-8131
Mailing address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 690-2600
(715) 381-8131
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6936-26
WI
Other
Enumeration date
03/16/2021
Last updated
01/18/2022
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