NICKOLAS HETHERINGTON

MELBOURNE, FL
NPI1467804278
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT17856)
Enumeration Date2016-07-05
Last Update Date2018-11-16
Business Address
NICKOLAS HETHERINGTON OTR/L
1900 S HARBOR CITY BLVD STE 108
MELBOURNE, FL 32901
Phone number: 833-684-5439
Mailing Address
NICKOLAS HETHERINGTON OTR/L
868 WESTPORT DR
ROCKLEDGE, FL 32955-3566
Phone number: 833-684-5439