Individual
COLLIN NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3430 BURNET AVE # 4007, CINCINNATI, OH 45229-2833
(513) 693-5508
Mailing address
3430 BURNET AVE # 4007, CINCINNATI, OH 45229-2833
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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