Individual
NICOLE MITCHELL FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3789 OAK GLEN CT, PACE, FL 32571-8996
(228) 209-4475
Mailing address
3789 OAK GLEN CT, PACE, FL 32571-8996
(228) 209-4475
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
OTA14728
FL
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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