Individual
NICOLE PROHASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 8TH ST NE, WASHINGTON, DC 20002-5227
(202) 544-5439
(202) 379-1797
Mailing address
405 8TH ST NE, WASHINGTON, DC 20002-5227
(202) 544-5439
(202) 379-1797
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5295
SC
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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