Individual
NICOLE R MALIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
36 BAZEBERRY RD, CORDOVA, TN 38018-7754
(901) 758-0036
Mailing address
58 DOGWOOD TRCE, ATOKA, TN 38004-7790
(901) 216-5451
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
2513
TN
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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