Individual
DANIELLE PAGE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121899
ECPTOTE
TX
01
—
455667
NBCOT
—
Enumeration date
06/28/2021
Last updated
06/28/2021
Update your record
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