Stacey Nichols, OTR/L

NPI #1164806147 in Streetsboro, Ohio

Provider Information

NPI Number: 1164806147
Entity Type: Individual
Name: Stacey Nichols, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jul 20, 2015
Last Updated: Jul 20, 2015

Practice Location

Address: 2092 DEER CROSSING DR
City: Streetsboro
State: Ohio
ZIP Code: 44241-5869
Phone: (440) 341-4073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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