Individual
NICOLE WEICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
4182
MA
225X00000X
Occupational Therapist
Primary
46TR01096800
NJ
Other
Enumeration date
06/20/2017
Last updated
01/11/2023
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