Individual
NICOLE OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
332 BIRNIE AVE, SPRINGFIELD, MA 01107-1104
(413) 733-6624
Mailing address
670 ALLEN ST, SPRINGFIELD, MA 01118-2008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13364
MA
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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