Individual
NICOLE NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
330 FALCONER DR STE D, COVINGTON, LA 70433-8211
(985) 900-2305
Mailing address
472 E HONORS POINT CT, SLIDELL, LA 70458-5781
(504) 481-3142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z12075
LA
Other
Enumeration date
04/23/2018
Last updated
06/16/2018
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