Individual
MS. NICHOLE RUBY STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2230 SETTLERS LN, TWIN FALLS, ID 83301-7889
(701) 680-3401
Mailing address
2230 SETTLERS LN, TWIN FALLS, ID 83301-7889
(701) 680-3401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-794
ID
Other
Enumeration date
11/20/2012
Last updated
03/28/2024
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