Individual
NICOLE LYNN STORMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1635 OHIO ST, WATERTOWN, NY 13601-3032
(315) 786-7285
(315) 786-7270
Mailing address
1635 OHIO ST, WATERTOWN, NY 13601-3032
(315) 786-7285
(315) 786-7270
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005485-1
NY
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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