Individual
NICKLAS STEVEN PEOPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
604 N MAIN ST, TUSCUMBIA, AL 35674-2005
(256) 443-0402
Mailing address
604 N MAIN ST, TUSCUMBIA, AL 35674
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3341
AL
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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