Individual
NICOLAS TYLER NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 BILLIAR ST, WOOSTER, OH 44691-4260
(330) 641-1382
Mailing address
1140 BILLIAR ST, WOOSTER, OH 44691-4260
(330) 641-1382
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
UL737718
OH
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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