Individual
NICOLE HUFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 FOX CHASE LN APT 12, SOUTHGATE, KY 41071-5432
(606) 584-1169
(800) 584-7323
Mailing address
30 FOX CHASE LN APT 12, SOUTHGATE, KY 41071-5432
(606) 584-1169
(800) 584-7323
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A5512
KY
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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