Individual
SARAH NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 MORGANTOWN ST, KINGWOOD, WV 26537-1095
(304) 329-3565
Mailing address
419 MORGANTOWN ST, KINGWOOD, WV 26537-1095
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1934
WV
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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