MS. Susan Jean Nickelson, OTRIL

NPI #1538260518 in Kyle, Texas

Provider Information

NPI Number: 1538260518
Entity Type: Individual
Name: MS. Susan Jean Nickelson, OTRIL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTRIL
Enumeration Date: Sep 25, 2006
Last Updated: Mar 7, 2011

Practice Location

Address: 407 S OLD HIGHWAY 81
City: Kyle
State: Texas
ZIP Code: 78640-5310
Phone: (512) 504-3035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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