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Individual

NIKKOL J SIMMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.OTRL

Contact information

Practice address
516 SOUTH 3RD STREET, COLWYN, PA 19023-3113
(610) 534-2919
Mailing address
516 SOUTH 3RD STREET, COLWYN, PA 19023-3113
(610) 534-2919

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
46TR00303100
NJ
171W00000X
Contractor
Primary
OC008482
PA

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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