Individual
NICOLE CAPILLE COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4090
(918) 579-1000
Mailing address
2250 N DENVER PL, TULSA, OK 74106-3629
(352) 875-8845
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5285
OK
225X00000X
Occupational Therapist
OT19405
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
5285
OK
Other
Enumeration date
07/30/2021
Last updated
03/22/2023
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