Nicole Marie Shy, OTR/L

NPI #1255612677 in Sedalia, Missouri

Provider Information

NPI Number: 1255612677
Entity Type: Individual
Name: Nicole Marie Shy, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Aug 30, 2011
Last Updated: Aug 30, 2011

Practice Location

Address: 25023 BOTHWELL PARK RD
City: Sedalia
State: Missouri
ZIP Code: 65301-0084
Phone: (660) 827-3993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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