Individual
MS. NICOLE ST. JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
144 W 86TH ST, SUITE 1B, NEW YORK, NY 10024-4028
(646) 373-1907
(212) 595-7782
Mailing address
144 W 86TH ST, SUITE 1B, NEW YORK, NY 10024-4028
(646) 373-1907
(212) 595-7782
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011145-1
NY
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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