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Individual

MS. NICOLE ASHLEY RAMBEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2224 E CEDAR AVE, SUITE 1, FLAGSTAFF, AZ 86004-1957
(937) 524-9034
Mailing address
2224 E CEDAR AVE, SUITE 1, FLAGSTAFF, AZ 86004-1957
(937) 524-9034

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
116021
TX
225X00000X
Occupational Therapist
296732
OR
225XP0200X
Pediatric Occupational Therapist
Primary
6447
AZ

Other

Enumeration date
08/27/2012
Last updated
02/19/2016
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