Individual
MRS. NICOLE ANN JEFFESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
202 N CHERRY ST, PAULDING, OH 45879-1211
(419) 399-4711
Mailing address
202 N CHERRY ST, PAULDING, OH 45879-1211
(419) 399-4711
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04275
OH
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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