Individual
NICOLE DOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1600 ATLANTIC AVE APT 48, LONGPORT, NJ 08403-1065
(215) 534-6865
Mailing address
1600 ATLANTIC AVE APT 48, LONGPORT, NJ 08403-1065
(215) 534-6865
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00634400
NJ
225X00000X
Occupational Therapist
OC015562
PA
Other
Enumeration date
11/07/2014
Last updated
10/19/2020
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