Individual
NICHOLE VAIKNORAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
277 PROSPECT AVE, HACKENSACK, NJ 07601-2512
(201) 968-0303
Mailing address
277 PROSPECT AVE, HACKENSACK, NJ 07601-2512
(201) 968-0303
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
6772
MA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
46TR01076000
NJ
225XP0200X
Pediatric Occupational Therapist
OTT19652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTT19652
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
03/08/2010
Last updated
12/11/2022
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