MRS. Nicole Surace, OT

NPI #1205089620 in Oswego, New York

Provider Information

NPI Number: 1205089620
Entity Type: Individual
Name: MRS. Nicole Surace, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Oct 29, 2008
Last Updated: Oct 31, 2008

Practice Location

Address: 159 W 1ST ST
City: Oswego
State: New York
ZIP Code: 13126-2045
Phone: (315) 349-5558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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