Karen Bomar Nickerson, OTR/L

NPI #1144783002 in Lilburn, Georgia

Provider Information

NPI Number
1144783002
Entity Type
Individual
Name
Karen Bomar Nickerson, OTR/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OTR/L
Enumeration Date
Apr 8, 2019
Last Updated
Apr 8, 2019

Practice Location

Address
76A CAMP CREEK RD SW
State
Georgia
ZIP Code
30047-3909
Phone
(404) 805-6482

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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