Individual
MRS. EMILY ANN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
806 NEWELL AVE, DALLAS, TX 75223-1162
(469) 334-0025
Mailing address
806 NEWELL AVE, DALLAS, TX 75223-1162
(469) 334-0025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110761
TX
Other
Enumeration date
05/09/2010
Last updated
05/09/2010
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