Individual
NICOLE FAIRLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5500 E PEAKVIEW AVE, CENTENNIAL, CO 80121-3539
(303) 713-9004
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0004359
CO
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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