Individual
SUNDAE NICHOLE NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
524 JAMES WAY, MARION, OH 43302-7801
(740) 389-6306
Mailing address
15704 HILLVIEW RD, MARYSVILLE, OH 43040-9724
(567) 356-6171
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
008385
OH
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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