Individual
CHRISTINE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
600 W NORTH BLVD STE D, LEESBURG, FL 34748-5000
(352) 728-6636
Mailing address
600 W NORTH BLVD STE D, LEESBURG, FL 34748-5000
(352) 728-6636
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16240
FL
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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