Individual
NICOLE DISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
MORGAN COUNTY BOARD OF EDUCATION, 247 HARRISON AVENUE, BERKELEY SPRINGS, WV 25411
(304) 267-3595
(304) 267-3599
Mailing address
MORGAN COUNTY BOARD OF EDUCATION, 247 HARRISON AVENUE, BERKELEY SPRINGS, WV 25411
(304) 267-3595
(304) 267-3599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1986
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1986
WV BOARD OF EXAMINERS
WV
Enumeration date
09/20/2018
Last updated
09/20/2018
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