Individual
NICOLE ANNA SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5651 E 30TH ST STE 219, INDIANAPOLIS, IN 46218-3368
(317) 297-9000
Mailing address
9245 HAWKINS RD APT 3D, INDIANAPOLIS, IN 46216-3601
(937) 673-6557
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007639A
IN
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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