Individual
MRS. NICOLE DANIELLE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 S 9TH ST, DE PERE, WI 54115-1393
(920) 338-4146
Mailing address
200 S 9TH ST, DE PERE, WI 54115-1393
(920) 338-4146
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4708-26
WI
Other
Enumeration date
09/11/2009
Last updated
05/03/2019
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