Individual
KAYLA ELIZABETH NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8909 RAND AVE STE C, DAPHNE, AL 36526-9126
(251) 210-1632
Mailing address
11373 OAK ALLEY DR S, GRAND BAY, AL 36541-4489
(251) 517-0355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007292
GA
Other
Enumeration date
02/22/2019
Last updated
02/27/2024
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