Individual
NICOLE GAMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
125 W BROAD ST, STATESVILLE, NC 28677-5257
(704) 775-4660
Mailing address
148 FORNEY DR, OLIN, NC 28660-9505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12335
NC
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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