Individual
MARIN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
6444 SILVER STAR LN, CHARLOTTE, NC 28210-4677
(860) 480-3004
Mailing address
6444 SILVER STAR LN, CHARLOTTE, NC 28210-4677
(860) 480-3004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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