NICOLE MARIE SLACK

BOCA RATON, FL
NPI1114176187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT004788)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MI  5201006711)
225X00000X Occupational Therapist
(Licence: IL  056007779)
225X00000X Occupational Therapist
(Licence: TX  112483)
225X00000X Occupational Therapist
(Licence: AZ  3934)
225X00000X Occupational Therapist
(Licence: SC  3382)
225X00000X Occupational Therapist
(Licence: VA  0119004412)
Enumeration Date2008-09-15
Last Update Date2008-09-15
Business Address
-- NICOLE MARIE SLACK OTR/L
5901 BROKEN SOUND PKWY
BOCA RATON, FL 33487-2773
Phone number: 516-367-1175
Mailing Address
-- NICOLE MARIE SLACK OTR/L
5901 BROKEN SOUND PKWY
BOCA RATON, FL 33487-2773
Phone number: 516-367-1175