Individual
MISS NICHOLE WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 FAIRWAY DR, LONGWOOD, FL 32779-5040
(216) 420-3334
Mailing address
202 FAIRWAY DR, LONGWOOD, FL 32779-5040
(216) 420-3334
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18647
FL
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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