Individual
MRS. BETH ANN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
324 JUNGERMANN RD, SAINT PETERS, MO 63376-5350
(636) 928-5327
Mailing address
6926 FIELDSTONE FARMS DR, O FALLON, MO 63368-8094
(636) 300-9411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000926
MO
Other
Enumeration date
02/09/2008
Last updated
02/09/2008
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