Individual
NICHOLE ANN OSWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT OTR
Contact information
Practice address
501 N 17TH AVE, BEECH GROVE, IN 46107-1169
(317) 353-7007
Mailing address
501 N 17TH AVE, BEECH GROVE, IN 46107-1169
(317) 353-7007
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
31004430A
IN
Other
Enumeration date
04/26/2010
Last updated
11/13/2012
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