Individual
NICOLE WILLSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1915 PHILADELPHIA ST, AMES, IA 50010-8768
(515) 232-7220
(515) 727-8757
Mailing address
1915 PHILADELPHIA ST, AMES, IA 50010-8768
(515) 232-7220
(515) 232-3834
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101811
IA
Other
Enumeration date
07/30/2020
Last updated
02/09/2022
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