Individual
VICTORIA JUDE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
8775 AERO DR STE 100, SAN DIEGO, CA 92123-1792
(619) 578-2232
Mailing address
2610 TORREY PINES RD APT D36, LA JOLLA, CA 92037-3452
(949) 702-3755
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
13897
CA
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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