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Individual

DONALD NICHOLLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8301 E PRENTICE AVE, 207, GREENWOOD VILLAGE, CO 80111-2903
(719) 630-7500
Mailing address
14042 E RADCLIFF CIR, AURORA, CO 80015-1245
(720) 352-9976

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000185
CO

Other

Enumeration date
02/02/2017
Last updated
02/02/2017
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