Individual
ALLISON VICTORIA NICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3200
Mailing address
20565 HOLYOKE AVE, LAKEVILLE, MN 55044-9637
(507) 602-0349
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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