Individual
MRS. NICOLE FETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
20 VILLAGE CIRCLE, KEOKUK, IA 52632
(319) 524-5772
(971) 206-5203
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000807
IA
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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