Individual
KAYLEE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1001 CENTERBROOKE LN STE 103, SUFFOLK, VA 23434-8663
(757) 774-5600
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010223
VA
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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