Individual
MRS. NICOLE MARIE O'GARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
01468
IA
224ZL0004X
Low Vision Occupational Therapy Assistant
01468
IA
225X00000X
Occupational Therapist
Primary
01468
IA
225XE0001X
Environmental Modification Occupational Therapist
01468
IA
225XE1200X
Ergonomics Occupational Therapist
01468
IA
225XG0600X
Gerontology Occupational Therapist
01468
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665802
—
IA
05
—
0665992
—
IA
Enumeration date
03/05/2009
Last updated
03/05/2009
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