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Individual

JOANNA J NICHOLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
7710 S BROOKLINE DR, MADISON, WI 53719-3511
(608) 833-2017
Mailing address
2318 WESTCHESTER RD, FITCHBURG, WI 53711-4372
(608) 712-4089

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3717-026
WI

Other

Enumeration date
12/27/2006
Last updated
07/08/2007
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