Individual
JENNIFER RHODES NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06208
MD
225XH1200X
Hand Occupational Therapist
06208
MD
Other
Enumeration date
02/27/2015
Last updated
09/09/2020
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