Individual
MRS. NICOLE HELEN ELIZABETH ECCLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1000 CALLE AMANECER, SAN CLEMENTE, CA 92673-6214
(949) 498-5100
Mailing address
21402 CALLE SENDERO, LAKE FOREST, CA 92630-2157
(818) 489-7238
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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