HERMINE CARRELL NICHOLS

ALTUS, OK
NPI1780897231
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  243)
Enumeration Date2007-05-08
Last Update Date2023-11-21
Business Address
HERMINE CARRELL NICHOLS COTA
1200 E PECAN ST
ALTUS, OK 73521-6141
Phone number: 580-379-5820
Mailing Address
HERMINE CARRELL NICHOLS COTA
21325 E COUNTY ROAD 161
HEADRICK, OK 73549-9320
Phone number: 580-738-5728