Individual
NICOLE MARIE SERAVELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
262 CHEROKEE PROFESSIONAL PARK, MARYVILLE, TN 37804-5153
(865) 980-0030
Mailing address
1057 OLD OLIVER RD, WALLAND, TN 37886-2338
(239) 222-9911
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7526
TN
Other
Enumeration date
02/21/2022
Last updated
05/28/2025
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