Individual
MRS. NICOLE MARIE KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1046 N JEFFERSON STREET, MEDINA, OH 44256
(330) 764-3877
Mailing address
2701 CHESTNUT STATION CT., LOUISVILLE, KY 40299
(888) 343-4148
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008908
OH
Other
Enumeration date
02/26/2015
Last updated
04/24/2024
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