Individual
NICOLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4214 SHERIDAN RD, MT PLEASANT, WI 53403-4142
(262) 554-6515
Mailing address
4214 SHERIDAN RD, MOUNT PLEASANT, WI 53403-4142
(262) 930-1414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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