Individual
NICHOLE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 SHASTA DAISY DR, WAKE FOREST, NC 27587-3962
(919) 215-5145
Mailing address
1028 SHASTA DAISY DR, WAKE FOREST, NC 27587-3962
(919) 215-5145
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119009026
VA
225X00000X
Occupational Therapist
020455-1
NY
225X00000X
Occupational Therapist
Primary
14098
NC
225X00000X
Occupational Therapist
OT010001845
DC
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
05/26/2016
Last updated
07/15/2025
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