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Individual

NICHOLE L KAISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
870 ESTHER ST, HUNTINGTON, IN 46750-1918
(260) 530-6536
Mailing address
870 ESTHER ST, HUNTINGTON, IN 46750-1918
(260) 530-6536

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001278A
IN

Other

Enumeration date
04/06/2009
Last updated
04/06/2009
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