Individual
NICHOLE DEARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 E COURT ST, SIDNEY, OH 45365-3021
(937) 498-1654
Mailing address
129 E COURT ST, SIDNEY, OH 45365-3021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7728
OH
Other
Enumeration date
03/15/2015
Last updated
05/01/2017
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