Nicole Jefferson
NPI #1053934257 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1053934257
- Entity Type
- Individual
- Name
- Nicole Jefferson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- May 21, 2020
- Last Updated
- May 21, 2020
Practice Location
- Address
- 1306 BARON CT
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-4479
- Phone
- (219) 315-7421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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