Individual
STACEY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2092 DEER CROSSING DR, STREETSBORO, OH 44241-5869
(440) 341-4073
(866) 469-3811
Mailing address
2092 DEER CROSSING DR, STREETSBORO, OH 44241-5869
(440) 341-4073
(866) 469-3811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.008676
OH
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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