Individual
MRS. MICHELE ANNETTE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
3590 WASHINGTON PIKE, BRIDGEVILLE, PA 15017-1047
(412) 257-2474
Mailing address
666 MAPLE LN, SEWICKLEY, PA 15143-1913
(412) 749-5439
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003245L
PA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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