Individual
KATELYN MARIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3860 DOBIE RD, OKEMOS, MI 48864-3704
(517) 381-6100
Mailing address
2265 W PARKS RD LOT 242, SAINT JOHNS, MI 48879-8918
(989) 307-0220
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008403
MI
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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