Individual
NICOLE WACHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 WHITE WING LN, JUPITER, FL 33458-5891
(561) 346-5440
Mailing address
129 WHITE WING LN, JUPITER, FL 33458-5891
(561) 346-5440
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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