Individual
MRS. NICHOLE EILEEN DINDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1335 GRANADA AVE, DAYTONA BEACH, FL 32117-1919
(386) 301-7799
Mailing address
1335 GRANADA AVE, DAYTONA BEACH, FL 32117-1919
(386) 301-7799
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17411
FL
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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