Individual
NICOLE L HARKLERODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
CONSONUS REHAB SERVICES, 4560 SE INTERNATIONAL WAY, MILWAKIE, OR 97222
(971) 206-5140
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222
(971) 206-5140
(971) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1041889
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182448
OMAP
OR
Enumeration date
10/02/2006
Last updated
07/08/2007
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