| NPI | 1235389461 |
|---|---|
| Former Name | NICHOLE M KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT18579) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT18579) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2022-02-21 |