Individual
KAREN BOMAR NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
76A CAMP CREEK RD SW, LILBURN, GA 30047-3909
(404) 805-6482
Mailing address
76A CAMP CREEK RD SW, LILBURN, GA 30047-3909
(404) 805-6482
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007352
GA
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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