Individual
CARRIE NICOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1490 COUNTY ROAD 509, IGNACIO, CO 81137-9136
(970) 749-1200
Mailing address
1490 COUNTY ROAD 509, IGNACIO, CO 81137-9136
(970) 749-1200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3176
NM
225X00000X
Occupational Therapist
6579
AZ
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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