Individual
ERICA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 S 94TH ST, CHANDLER, AZ 85224-6281
(480) 361-6636
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
AZ
Other
Enumeration date
06/07/2015
Last updated
06/07/2015
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