Individual
SEAN ERIC NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1303 CAMELOT BAY, MOUNT JULIET, TN 37122-1354
(615) 804-1297
(615) 773-4789
Mailing address
1303 CAMELOT BAY, MOUNT JULIET, TN 37122-1354
(615) 804-1297
(615) 773-4789
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT000002518
TN
Other
Enumeration date
11/30/2009
Last updated
09/24/2015
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