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Individual

NICOLE WENZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1190 SPRINGDALE, HELENA, AR 72342-1406
(870) 995-2183
Mailing address
1190 SPRINGDALE, HELENA, AR 72342-1406
(870) 995-2183

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3052
AL
225XP0200X
Pediatric Occupational Therapist
Primary
OTR2043
AR

Other

Enumeration date
05/06/2010
Last updated
11/11/2010
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