MRS. Kerry Anne Nissen, O.T.

NPI #1730236985 in York, South Carolina

Provider Information

NPI Number: 1730236985
Entity Type: Individual
Name: MRS. Kerry Anne Nissen, O.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: O.T.
Enumeration Date: Jan 3, 2007
Last Updated: Nov 17, 2010

Practice Location

Address: 2049 ROCKY STREAM RD
City: York
State: South Carolina
ZIP Code: 29745-6611
Phone: (615) 456-5391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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