Susan Nickerson

NPI #1306394515 in Billerica, Massachusetts

Provider Information

NPI Number: 1306394515
Entity Type: Individual
Name: Susan Nickerson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 15, 2016
Last Updated: Sep 15, 2016

Practice Location

Address: 14 RICHARDS ST
City: Billerica
State: Massachusetts
ZIP Code: 01821-1310
Phone: (781) 626-2771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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