Individual
NICOLE CLAIRE ERNAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 SUNNYSIDE RD SE, SALEM, OR 97302-3954
(503) 370-8284
Mailing address
126 W IOWA ST, SPRING VALLEY, IL 61362-1937
(815) 303-8571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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