MRS. Nichole Renee Shadle, COTA/L
NPI #1801302864 in Montoursville, Pennsylvania
Provider Information
- NPI Number
- 1801302864
- Entity Type
- Individual
- Name
- MRS. Nichole Renee Shadle, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Dec 28, 2017
- Last Updated
- Dec 28, 2017
Practice Location
- Address
- 2140 WARRENSVILLE RD
- City
- Montoursville
- State
- Pennsylvania
- ZIP Code
- 17754-9621
- Phone
- (570) 433-3161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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