Individual
NICHOLE E FEASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 MANOR DR, SUITE 10, EBENSBURG, PA 15931-4917
(814) 472-6060
Mailing address
429 MANOR DR, SUITE 10, EBENSBURG, PA 15931-4917
(814) 472-6060
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005674
PA
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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