Individual
NICOLE CORRIVEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 8TH ST NE, WASHINGTON, DC 20002-5227
(202) 544-5439
(202) 379-1797
Mailing address
405 8TH ST NE, WASHINGTON, DC 20002-5227
(202) 544-5439
(202) 379-1797
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
07628
MD
225XP0200X
Pediatric Occupational Therapist
Primary
OT010001077
DC
Other
Enumeration date
10/07/2015
Last updated
12/08/2015
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