| NPI | 1841418365 |
|---|---|
| Former Name | NICOLE LEE ZDRAVECKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH 006686) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 3875) |
| 225X00000X Occupational Therapist (Licence: TN 3556) | |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2025-09-11 |