Individual
NICOLETTA VERSACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8149 OLD FEDERAL RD, MONTGOMERY, AL 36117-8009
(205) 760-3013
Mailing address
640 GRASSMERE PARK STE 116, NASHVILLE, TN 37211-3678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
11/01/2022
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