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Individual

MS. NICOLE SANDRA ELLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
30 MAN MAR DR, PLAINVILLE, MA 02762-2271
(508) 695-6848
Mailing address
16 GILBERTS WAY, NORTON, MA 02766-3465
(774) 266-1559

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT02018
RI

Other

Enumeration date
08/09/2021
Last updated
08/09/2021
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