Individual
MRS. DANAE LEE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 BINGHAM ST, PITTSBURGH, PA 15203-1007
(412) 995-5000
Mailing address
507 BRANDYWINE DR, CRANBERRY TOWNSHIP, PA 16066-5707
(724) 766-7654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC005996L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101464615 0001
—
PA
Enumeration date
03/05/2007
Last updated
07/09/2007
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