Individual
NICOLE MARIE NEWFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8320 CITY CENTRE DR, SUITE G, WOODBURY, MN 55125-3382
(651) 738-9888
Mailing address
551 HOMEWOOD AVE, MAHTOMEDI, MN 55115-2220
(651) 653-5763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102721
MN
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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