Individual
NICOLE COLLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 SUDBROOK LN, STE A, PIKESVILLE, MD 21208-4130
(410) 358-1997
Mailing address
3520 BEECH AVE, APT F, BALTIMORE, MD 21211-2620
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07965
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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