Individual
NIKKI DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 MARTIN DR, WEATHERFORD, TX 76086-6738
(817) 458-3100
Mailing address
1715 MARTIN DR, WEATHERFORD, TX 76086-6738
(817) 458-3100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
TX
01
—
NA
NA
—
05
—
NA
—
TX
Enumeration date
09/04/2018
Last updated
09/12/2018
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