Individual
CARLENE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 W KING TUT RD, BELLINGHAM, WA 98226-9652
(206) 819-3905
Mailing address
3911 DOGWOOD PL, MOUNT VERNON, WA 98274-8750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003495
WA
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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