Individual
DAWN L NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
S66W25120 MORAINE CT, WAUKESHA, WI 53189-9607
(262) 662-0571
Mailing address
S66W25120 MORAINE CT, WAUKESHA, WI 53189-9607
(262) 662-0571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2201
WI
Other
Enumeration date
05/12/2008
Last updated
11/01/2016
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