Individual
MISS NICOLE PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1200 FIRST ST NE, 9TH FLOOR, WASHINGTON, DC 20002
(313) 522-6594
Mailing address
9630 MILESTONE WAY APT 3115, COLLEGE PARK, MD 20740-4348
(313) 522-6594
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
19170
CA
225X00000X
Occupational Therapist
Primary
OT010000351
DC
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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