Individual
NICOLE BLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
373 E 10TH AVE, SPRINGFIELD, CO 81073-1622
(719) 523-4501
Mailing address
465 N COMMERCE RD, LEBANON, TN 37090-7127
(615) 428-0022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7543
TN
Other
Enumeration date
02/22/2023
Last updated
02/23/2023
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