Individual
CHARLA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
14188 W 150TH CT, OLATHE, KS 66062-3367
(913) 829-7775
(913) 829-7765
Mailing address
4312 SYCAMORE DR, ROELAND PARK, KS 66205-2363
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XH1300X
Human Factors Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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