Individual
EMILY ELIZABETH NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
801 PLEASANT ST, BROCKTON, MA 02301-3052
(508) 586-5977
Mailing address
12 HARNDEN RD, FOXBOROUGH, MA 02035-1250
(508) 785-5015
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
04/22/2019
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