Individual
NICOLE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
10011 EUCLID AVE, CLEVELAND, OH 44106-4701
(216) 791-8363
(216) 791-2539
Mailing address
240 MARKET ST, 330, WESTLAKE, OH 44145-8110
(440) 309-7867
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT-006791
OH
Other
Enumeration date
01/24/2007
Last updated
02/27/2008
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