Individual
DAWN NICCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
268 MARENGO DR, RICHMOND, KY 40475-8948
(509) 981-3383
Mailing address
268 MARENGO DR, RICHMOND, KY 40475-8948
(509) 981-3383
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
261325
—
Other
Enumeration date
07/06/2020
Last updated
02/16/2023
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