Individual
OLIVIA MCNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
13601 N LITCHFIELD RD STE 124, SURPRISE, AZ 85379-4260
(815) 690-6120
Mailing address
15508 W BELL RD STE 101-261, SURPRISE, AZ 85374-2432
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTH-008514
AZ
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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