Individual
NICOLE WICHGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9801 FRONTIER AVE SE, SNOQUALMIE, WA 98065-5200
(425) 831-2300
Mailing address
632 S 189TH ST, BURIEN, WA 98148-2042
(206) 963-8310
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60847281
WA
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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