Individual
NICOLETTE A WINCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8108 JACK RUSSELL CT, POWELL, TN 37849-3078
(865) 256-1707
Mailing address
8108 JACK RUSSELL CT, POWELL, TN 37849-3078
(865) 256-1707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0000000321
TN
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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