Individual
NICOLE WILSON-RABBANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4115 16TH ST NW, WASHINGTON, DC 20011-7003
(707) 704-3165
Mailing address
1400 IRVING ST NW, APT 711, WASHINGTON, DC 20010-2850
(707) 704-3165
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT010000711
DC
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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