Individual
CAROL JEAN NICHOLSON
Active
Individual
CAROL JEAN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL, CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00000928
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137579
L & I PROVIDER NUMBER
WA
05
—
2103126
—
WA
Enumeration date
04/04/2007
Last updated
12/20/2023
Update your record
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