Individual
MS. NICOLE LYNN ONDERKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
ANDOVER VILLAGE RETIREMENT CENTER 486 SOUTH MAIN STREET, ANDOVER, OH 44003
(440) 293-5416
Mailing address
8118 REVERE LN, JAMESTOWN, PA 16134-6552
(724) 813-7584
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
02995
OH
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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