Individual
KAYLA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2641 HAMNER AVE STE 110, NORCO, CA 92860-3637
(626) 536-4834
Mailing address
731 BLANKENSHIP CIR, PLACENTIA, CA 92870-7512
(949) 327-1713
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26809
CA
Other
Enumeration date
10/11/2018
Last updated
09/05/2024
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