Individual
NICOLE WILLETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
15900 ROUTE 6, TROY, PA 16947-9308
(570) 506-6551
(855) 232-8604
Mailing address
15900 ROUTE 6, TROY, PA 16947-9308
(570) 506-6551
(855) 232-8604
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009391
PA
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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