Individual
NICOLE MARIE ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
107 LEON AVE, NORWOOD, PA 19074-1616
(215) 298-3769
Mailing address
107 LEON AVE, NORWOOD, PA 19074-1616
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005997
PA
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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