Individual
RACHEL ERIN NICODEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR
Contact information
Practice address
3615 MLK BLVD, DENVER, CO 80205-4976
(303) 333-8360
Mailing address
2204 PARK PL, CHEYENNE, WY 82001-5001
(970) 222-9180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0004912
CO
Other
Enumeration date
02/14/2017
Last updated
09/28/2022
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