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Individual

MRS. NICOLE A DONALDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
414 S UNIVERSITY RD, SPOKANE VALLEY, WA 99206-5555
(509) 924-4650
(509) 228-0851
Mailing address
6238 W HARBOR DR, COEUR D ALENE, ID 83814-7680

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00001214
WA
224Z00000X
Occupational Therapy Assistant
OTA-039
ID

Other

Enumeration date
07/02/2007
Last updated
07/08/2007
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