Individual
MS. JAMA RANE'E NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
204 W WASHINGTON AVE, STERLING, KS 67579-1614
(620) 278-3651
Mailing address
455 W 9TH ST, HOISINGTON, KS 67544-1709
(620) 653-4856
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00402
KS
Other
Enumeration date
08/14/2011
Last updated
08/14/2011
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