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1245510312
MICHELE L NIKITICH
WATERTOWN, NY
NPI
1245510312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 016893)
Enumeration Date
2011-08-22
Last Update Date
2013-04-22
Business Address
-- MICHELE L NIKITICH MS, OTR/L
16783 IVES STREET EXT
WATERTOWN, NY 13601-5312
Phone number: 315-788-5377
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Mailing Address
-- MICHELE L NIKITICH MS, OTR/L
7600 EASTON ST
LOWVILLE, NY 13367-1121
Phone number: 315-783-6116
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