Individual
MRS. NICOLE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1425 S LANDRUM ST, MT VERNON, MO 65712
(417) 466-2260
Mailing address
1700 SOUTH HUDSON AVE, AURORA, MO 65605
(417) 678-2165
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
201403204
MO
225X00000X
Occupational Therapist
2014032104
MO
Other
Enumeration date
12/14/2016
Last updated
04/10/2025
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