SUSAN JEAN NICKELSON

KYLE, TX
NPI1538260518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  108876)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: CA  OT1320)
Enumeration Date2006-09-25
Last Update Date2011-03-07
Business Address
Ms. SUSAN JEAN NICKELSON OTRIL
407 S OLD HIGHWAY 81
KYLE, TX 78640-5310
Phone number: 512-504-3035
Mailing Address
Ms. SUSAN JEAN NICKELSON OTRIL
7804 CROFTWOOD DR
AUSTIN, TX 78749-3204
Phone number: 512-739-2370