Individual
GERRY NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2208 SUNRISE LN, CARROLLTON, TX 75006-2754
(972) 841-6869
Mailing address
2208 SUNRISE LN, CARROLLTON, TX 75006-2754
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101530
TX
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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