Individual
KELSEY L NICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
409 W 28TH ST, BALTIMORE, MD 21211-3027
(831) 594-9505
Mailing address
409 W 28TH ST, BALTIMORE, MD 21211-3027
(831) 594-9505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08551
MD
Other
Enumeration date
09/14/2015
Last updated
02/15/2022
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