Individual
NICHOLE RACHELLE HARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
411 N STATE ROUTE 2, NEW MARTINSVILLE, WV 26155-2711
(304) 455-5515
Mailing address
11 BIRCH AVE, WHEELING, WV 26003-5914
(304) 243-1731
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2248
WV
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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