Nicole Rene Wiggins, OTR, MOT

NPI #1053935866 in Tyler, Texas

Provider Information

NPI Number: 1053935866
Entity Type: Individual
Name: Nicole Rene Wiggins, OTR, MOT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR, MOT
Enumeration Date: Jun 8, 2020
Last Updated: Jun 8, 2020

Practice Location

Address: 401 E FRONT ST
City: Tyler
State: Texas
ZIP Code: 75702-8213
Phone: (903) 531-2581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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