Individual
KIM SEXTON-NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9751 REGENT AVE N, BROOKLYN PARK, MN 55443-1402
(763) 315-5340
Mailing address
1660 HIGHWAY 100 S, SAINT LOUIS PARK, MN 55416-1529
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202590
MN
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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