Individual
NICOLE FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3324 INDIAN SHADOW ST UNIT 204, LAS VEGAS, NV 89129-8628
(413) 262-8433
Mailing address
3324 INDIAN SHADOW ST UNIT 204, LAS VEGAS, NV 89129-8628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13-0333
NV
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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