Individual
ANDREA NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
5281 N 99TH AVE STE 200, GLENDALE, AZ 85305-3199
(623) 889-0411
Mailing address
14287 N 87TH ST STE 220, SCOTTSDALE, AZ 85260-3698
(480) 937-1000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
06/09/2022
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