Individual
MS. NATALIE MARIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
245 CAHABA VALLEY PKWY, PELHAM, AL 35124-2216
(205) 942-6820
(205) 942-5627
Mailing address
2118 TERRACE DR, COLUMBUS, GA 31904-7361
(706) 221-2470
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2501
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-32425
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/11/2006
Last updated
07/08/2007
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