Kelby Renee Nicholson, COTA
NPI #1174126338 in West Memphis, Arkansas
Provider Information
- NPI Number
- 1174126338
- Entity Type
- Individual
- Name
- Kelby Renee Nicholson, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Nov 19, 2020
- Last Updated
- Nov 19, 2020
Practice Location
- Address
- 610 N MISSOURI ST STE 1
- City
- West Memphis
- State
- Arkansas
- ZIP Code
- 72301-3148
- Phone
- (870) 400-0179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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