| NPI | 1447759121 |
|---|---|
| Former Name | NICOLE MARIE SCHADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106849) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 325644) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2025-09-26 |