Individual
NICOLE ANN RAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15414 N. 7TH STREET, SUITE 3, PHOENIX, AZ 85022
(602) 476-7519
(602) 445-4971
Mailing address
15414 N. 7TH STREET, SUITE 3, PHOENIX, AZ 85022
(602) 476-7519
(602) 445-4971
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5166
AZ
224Z00000X
Occupational Therapy Assistant
OTA12277
FL
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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