Individual
ADRIENNE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7904 WEST DR APT 616, NORTH BAY VILLAGE, FL 33141-5523
(195) 452-9835
Mailing address
7904 WEST DR APT 616, NORTH BAY VILLAGE, FL 33141-5523
(195) 452-9835
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19625
FL
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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