Individual
SHERRY LYNN NIEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2629 DEL PRADO BLVD S, CAPE CORAL, FL 33904-5769
(239) 574-4434
Mailing address
4205 SE 4TH PL, CAPE CORAL, FL 33904-8477
(239) 848-6004
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18381
FL
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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