Individual
KENDRA L NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
545 RAY C HUNT DR STE 2100, CHARLOTTESVILLE, VA 22903-2981
(434) 297-9700
(434) 297-9707
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005522
VA
Other
Enumeration date
04/20/2012
Last updated
08/09/2023
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