Individual
NICOLE JANAE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
704 WILLOW AVE APT 1L, HOBOKEN, NJ 07030-4086
(701) 866-9383
Mailing address
704 WILLOW AVE APT 1L, HOBOKEN, NJ 07030-4086
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00591800
NJ
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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