Individual
NICOLE A LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
146 MARPLE RD, BROOMALL, PA 19008-2040
(610) 356-0100
Mailing address
45 DOWNEY DR, HORSHAM, PA 19044-1032
(215) 540-8344
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TOP008677
PA
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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