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Individual

NIKKI NORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2700 BEE CAVES RD STE 201, AUSTIN, TX 78746-5678
(512) 431-4721
Mailing address
2700 BEE CAVES RD STE 201, AUSTIN, TX 78746-5678
(512) 431-4721

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
110613
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201708901
TX
01
8T0416
BCBS
TX
Enumeration date
01/10/2008
Last updated
07/21/2022
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