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1376860361
TERESA RENEE NICKELL
CHARLESTON, WV
NPI
1376860361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV 1740)
Enumeration Date
2010-04-29
Last Update Date
2010-04-29
Business Address
Ms. TERESA RENEE NICKELL COTA/L
1000 ASSOCIATION DR
CHARLESTON, WV 25311-1270
Phone number: 304-347-4372
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Mailing Address
Ms. TERESA RENEE NICKELL COTA/L
1000 ASSOCIATION DR
CHARLESTON, WV 25311-1270
Phone number: 304-347-4372
Copy
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