| NPI | 1841963220 |
|---|---|
| Former Name | NICOLE MARIE CAPILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OK 5285) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT19405) |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: OK 5285) | |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2023-03-22 |