Individual
NIKKI MICHELLE PIRTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
520 W 9TH ST, JASPER, IN 47546-2711
(812) 482-6603
Mailing address
520 W 9TH ST, JASPER, IN 47546-2711
(812) 482-6603
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002823A
IN
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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