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Individual

NICOLE PELTIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
6924 W LINEBAUGH AVE, TAMPA, FL 33625-5800
(813) 962-6766
Mailing address
11521 FOREST HILLS DR, TAMPA, FL 33612-5121
(813) 765-7541

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18289
FL

Other

Enumeration date
12/11/2021
Last updated
12/11/2021
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