Individual
ANDREW NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1753 CASTLE ROCK RD, FREDERICK, MD 21701-9386
(240) 422-7527
Mailing address
1753 CASTLE ROCK RD, FREDERICK, MD 21701-9386
(240) 422-7527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04416
MD
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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