Individual
NICOLE HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11154 HURON ST STE 101, NORTHGLENN, CO 80234-2329
(720) 381-0624
Mailing address
11154 HURON ST STE 101, NORTHGLENN, CO 80234-2329
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0007729
CO
225X00000X
Occupational Therapist
13821
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13821
MASSACHUSETTS BOARD OF ALLIED HEALTH PROFESSIONALS
MA
Enumeration date
06/22/2021
Last updated
09/20/2023
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