Individual
NICOLE SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12801 BANGOR AVE, GARFIELD HEIGHTS, OH 44125-3660
(216) 475-8123
Mailing address
228 PARKVIEW DR, AURORA, OH 44202-8057
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011631
OH
Other
Enumeration date
02/15/2019
Last updated
12/19/2025
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