Organization
NICHOLS OCCUPATIONAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH VITALE NICHOLS MSOT, OTR/L (OCCUPATIONAL THERAPIST / OWNER)
(601) 850-7634
Entity
Organization
Contact information
Practice address
29 SUSIE B LAW RD, HOLLANDALE, MS 38748-9710
(601) 850-7634
(360) 368-6227
Mailing address
29 SUSIE B LAW RD, HOLLANDALE, MS 38748-9710
(601) 850-7634
(360) 368-6227
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02870784
—
MS
Enumeration date
11/08/2021
Last updated
03/02/2022
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