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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CALEB GLEN NICOLL, OTR/L

Active Sole Proprietor

CALEB GLEN NICOLL, OTR/L is a Pediatric Occupational Therapist healthcare provider located in PHOENIX, Arizona. NPI 1164298246 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · PHOENIX, AZ

Registration Details

NPI Number
1164298246
Provider Type
Individual
Gender
Male
NPI Issued
Nov 29, 2023 (2.7423707539232 yrs)
Last Updated
Nov 29, 2023
License
OTH-009425 (AZ)
Sole Proprietor
Yes

Practice Information

Address
5048 E OAK ST
PHOENIX, AZ, 850082522
Browse AZ providers · Browse ZIP 85008
Phone
6026296800
Primary Specialty
Pediatric Occupational Therapist
225XP0200X

Other Pediatric Occupational Therapist Providers in PHOENIX, AZ

Name Credential NPI
MRS. VALERIE ELLEN PIERACCINI OTR 1417936899
MRS. DARLA KATHLEEN GOODMAN M.S. OTR/L 1902886336
MS. ROSANNE MAY URBANOWICZ OTR/L 1033128129
SARA FAYE FLEISHMAN 1508942152
AMBER KAY PARK 1750468559
ALICE M YOUNG OTR/L 1043397649
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.