Individual
ERIN ELIZABETH NIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2297 CITRUS HILL RD, PALM HARBOR, FL 34683-3212
(919) 605-0750
Mailing address
2297 CITRUS HILL RD, PALM HARBOR, FL 34683-3212
(919) 605-0750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20476
FL
225X00000X
Occupational Therapist
6285
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301951
—
NC
Enumeration date
01/26/2007
Last updated
06/24/2020
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