Individual
NICOLE R MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
717 S STATE ST, SUITE 900, FAIRMONT, MN 56031-4469
(507) 238-4949
(507) 238-3377
Mailing address
621 E 13TH ST, BLUE EARTH, MN 56013-2611
(507) 526-5611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102391
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30D04ME
BXBS
MN
Enumeration date
01/27/2006
Last updated
07/08/2007
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