Individual
MOLLY NICOLAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
620 N DIERS AVE STE 300, GRAND ISLAND, NE 68803-4985
(308) 382-0344
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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