Individual
MISS KATIE ANN MCNICHOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4530
AL
Other
Enumeration date
12/21/2017
Last updated
12/01/2023
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