Individual
MRS. DENICE MICHELLE NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L, CHT
Contact information
Practice address
1119 E STANLEY BLVD, LIVERMORE, CA 94550-4115
(925) 447-7000
Mailing address
563 FREEMAN WAY, MOUNTAIN HOUSE, CA 95391-1126
(209) 830-4590
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT 4133
CA
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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