Individual
ERIN KATHLEEN NILSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
109 IVY ROCK LN, HAVERTOWN, PA 19083-2825
(484) 639-3075
Mailing address
109 IVY ROCK LN, HAVERTOWN, PA 19083-2825
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016903
PA
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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