Individual
NICHOLAS HOUSTON DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 765-7058
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
(336) 765-7058
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
124578
TX
225X00000X
Occupational Therapist
16516
NC
225X00000X
Occupational Therapist
Primary
6959
SC
Other
Enumeration date
06/23/2021
Last updated
08/11/2025
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