Individual
MS. BETH GARDNER NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
3234 CAHABA HEIGHTS RD, VESTAVIA, AL 35243-1614
(205) 383-8579
(205) 298-9103
Mailing address
3269 BROOK HIGHLAND TRCE, BIRMINGHAM, AL 35242-5814
(205) 981-7167
(205) 298-9013
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0133
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51005522
BLUE CROSS
AL
01
—
51510089
BLUE CROSS DME PROV #
AL
Enumeration date
10/24/2006
Last updated
11/14/2011
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