Individual
ANGELA DENISE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
444 ONE ELEVEN PL, COOKEVILLE, TN 38506-4358
(931) 525-6655
Mailing address
444 ONE ELEVEN PL, COOKEVILLE, TN 38506-4358
(931) 525-6655
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1173
TN
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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