Individual
NICOLE NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1801 RUSTIC DR APT 105, LAPEER, MI 48446-3926
(212) 321-5113
Mailing address
4252 42ND ST SW, GRANDVILLE, MI 49418-2311
(847) 863-2582
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009479
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
355267
NBCOT
MI
01
—
5201009479
LICENSE
MI
Enumeration date
04/26/2016
Last updated
11/03/2025
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