Nicole Michelle Wilson, COTA/L
NPI #1578081964 in Stanwood, Washington
Provider Information
- NPI Number
- 1578081964
- Entity Type
- Individual
- Name
- Nicole Michelle Wilson, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Sep 6, 2017
- Last Updated
- Sep 6, 2017
Practice Location
- Address
- 9901 272ND PL NW
- City
- Stanwood
- State
- Washington
- ZIP Code
- 98292
- Phone
- (360) 510-3518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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