MRS. Carly Anne Nichols, OTD OTR/L
NPI #1679119036 in Wiggins, Mississippi
Provider Information
- NPI Number
- 1679119036
- Entity Type
- Individual
- Name
- MRS. Carly Anne Nichols, OTD OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OTD OTR/L
- Enumeration Date
- Nov 20, 2019
- Last Updated
- May 7, 2024
Practice Location
- Address
- 1601 CENTRAL AVE W
- City
- Wiggins
- State
- Mississippi
- ZIP Code
- 39577-2401
- Phone
- (601) 716-3196
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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