Individual
NICOLE LYNN SAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1530 ROWE AVE, WORTHINGTON, MN 56187-9700
(507) 372-2232
(507) 372-7326
Mailing address
1530 ROWE AVE, WORTHINGTON, MN 56187-9700
(507) 372-2232
(507) 372-7326
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
01490
IA
225X00000X
Occupational Therapist
Primary
102705
MN
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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