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Individual

NICHOLE MARIE TENCH

Active
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Individual

NICHOLE MARIE TENCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSR OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2438
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TH1470
SC
Enumeration date
10/17/2006
Last updated
07/21/2022
Update your record

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