Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS NICOLE JEANETTE DAVIS, OTR
Active Sole ProprietorMISS NICOLE JEANETTE DAVIS, OTR is a Occupational Therapist healthcare provider located in GOODRICH, Michigan. NPI 1518107648 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · GOODRICH, MI
Registration Details
- NPI Number
- 1518107648
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2009 (17.449108121941 yrs)
- Last Updated
- Mar 2, 2009
- License
-
L1360077 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11310 HORTON RDGOODRICH, MI, 484389497Browse MI providers · Browse ZIP 48438
- Phone
- 2485615130
- Primary Specialty
-
Occupational Therapist
225X00000X
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.