Individual
NICOLE LAVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1645 W 8TH ST, ERIE, PA 16505-5007
(814) 875-8850
(814) 875-8756
Mailing address
1645 W 8TH ST, ERIE, PA 16505-5007
(814) 875-8850
(814) 875-8756
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC-009458
PA
225XP0200X
Pediatric Occupational Therapist
Primary
OC009458
PA
Other
Enumeration date
04/09/2007
Last updated
03/27/2013
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