Individual
MRS. NICOLE ANTOINETTE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9701 VEIRS DR, ROCKVILLE, MD 20850-3414
(301) 424-9560
Mailing address
108 NORTHEAST AVE, WAYNESBORO, PA 17268-2529
(717) 504-3145
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02236
MD
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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