Individual
NICHOLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 N REAMSTOWN RD, STEVENS, PA 17578-9493
(717) 517-1915
Mailing address
105 N REAMSTOWN RD, STEVENS, PA 17578-9493
(717) 517-1915
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008314
PA
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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