NICOLE BLACKWELL

CONCORD, NC
NPI1366802704
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  9777)
Enumeration Date2016-02-27
Last Update Date2016-02-27
Business Address
-- NICOLE BLACKWELL COTA/L
815 WENTWORTH DR NE
CONCORD, NC 28025-7812
Phone number: 704-796-2850
Mailing Address
-- NICOLE BLACKWELL COTA/L
815 WENTWORTH DR NE
CONCORD, NC 28025-7812
Phone number: 704-796-2850
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