MISS Nicole Marie Vicino, OTR/L

NPI #1992185722 in Santee, California

Provider Information

NPI Number
1992185722
Entity Type
Individual
Name
MISS Nicole Marie Vicino, OTR/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist - Pediatrics
Credential
OTR/L
Enumeration Date
Jun 6, 2015
Last Updated
Jun 6, 2015

Practice Location

Address
9225 CARLTON HILLS BLVD
Address 2
23
City
Santee
ZIP Code
92071-2980
Phone
(619) 692-0622

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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