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Individual

NICOLE CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1416 N CHURCH ST, MCKINNEY, TX 75069-1806
(972) 359-1110
Mailing address
PO BOX 828, MCKINNEY, TX 75070-8144
(972) 562-0190

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
TX104814
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167298201
TX
Enumeration date
04/13/2006
Last updated
04/08/2009
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