Individual
LESLIE L NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108-2552
(734) 222-3561
(734) 222-3461
Mailing address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108-2552
(734) 222-3561
(734) 222-3461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
520100044
MI
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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