Individual
DEBRA NIKKILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 HOWARD LN, FAYETTEVILLE, GA 30215-1849
(770) 460-0165
Mailing address
150 BROOKRIDGE CT, FAYETTEVILLE, GA 30215-8229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004050
GA
225XP0200X
Pediatric Occupational Therapist
OT004050
GA
Other
Enumeration date
03/21/2007
Last updated
09/11/2025
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