Individual
NICOLE LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 DONALD STREET, SAINT MARYS, WV 26170
(304) 893-3231
Mailing address
102 DONALD ST, SAINT MARYS, WV 26170-9630
(304) 893-3231
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
C1386
WV
224Z00000X
Occupational Therapy Assistant
Primary
OTA003584
OH
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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