Individual
MRS. PATRICIA ANN NICHOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/CHT
Contact information
Practice address
346 WESTBURY AVE, CARLE PLACE, NY 11514-1654
(516) 333-1481
Mailing address
346 WESTBURY AVE, CARLE PLACE, NY 11514-1654
(516) 333-1481
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
003719-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0453920001
NHIC PROVIDER ID
NY
Enumeration date
08/31/2006
Last updated
05/12/2010
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