Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA ANN NICHOLSON, OTR/L
Active Sole ProprietorLISA ANN NICHOLSON, OTR/L is a Pediatric Occupational Therapist healthcare provider located in AVOCA, New York. NPI 1689820060 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · AVOCA, NY
Registration Details
- NPI Number
- 1689820060
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2008 (17.961483013702 yrs)
- Last Updated
- Dec 23, 2011
- License
-
012016-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8992 HEMLOCK ROADAVOCA, NY, 14809Browse NY providers · Browse ZIP 14809
- Phone
- 6075663407
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
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.