KIM A NICHOLS

PORT ORANGE, FL
NPI1114261310
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KY  A4194)
Enumeration Date2012-11-12
Last Update Date2012-11-12
Business Address
-- KIM A NICHOLS
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
Mailing Address
-- KIM A NICHOLS
111 OSBORNE LN
MADISONVILLE, KY 42431-9766
Phone number:
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