KENDRA RAE NICKOL

MISSOULA, MT
NPI1083314470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MT  OTP-OT-LIC-9609)
Enumeration Date2023-03-06
Last Update Date2023-03-06
Business Address
KENDRA RAE NICKOL OTR/L
2321 S 3RD ST W # 1332
MISSOULA, MT 59801-1332
Phone number: 406-214-3131
Mailing Address
KENDRA RAE NICKOL OTR/L
2321 S 3RD ST W
MISSOULA, MT 59801-1332
Phone number: 406-214-3131