Individual
MEGAN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 FAIRVIEW AVE STE 330, CALDWELL, ID 83605-5425
(208) 385-3680
Mailing address
2950 E PARKCENTER BLVD APT 409, BOISE, ID 83716-4726
(207) 380-4973
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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