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Individual

VERONICA NICOLE BELICKIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
900 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5244
(931) 552-3002
Mailing address
900 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5244

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000004024
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT0000004024
DIVISION OF HEALTH RELATED BOARDS
TN
Enumeration date
12/12/2009
Last updated
07/25/2010
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