Individual
NICOLE KATHLEEN SIMMLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7120 TRES CT, FAYETTEVILLE, NC 28314-5272
(774) 272-0232
Mailing address
7120 TRES CT, FAYETTEVILLE, NC 28314-5272
(774) 272-0232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10635
NC
225XE0001X
Environmental Modification Occupational Therapist
10635
NC
225XP0019X
Physical Rehabilitation Occupational Therapist
10635
NC
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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