Individual
SARAH KATHERINE NICKOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
203 NIANTIC RIVER RD, WATERFORD, CT 06385-1533
(617) 790-4800
Mailing address
124 JACQUES LN, SOUTH WINDSOR, CT 06074-4222
(860) 519-7860
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/17/2023
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