KRISTIE NICKERSON

ORANGEBURG, SC
NPI1851773071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SC  4040)
Additional Taxonomies225XP0200X Occupational Therapist, Pediatrics
(Licence: ME  OT 3011)
Enumeration Date2015-06-24
Last Update Date2017-12-13
Business Address
KRISTIE NICKERSON MS OTR/L
119 OFFICE PARK DR
ORANGEBURG, SC 29118-2407
Phone number: 803-536-5509
Mailing Address
KRISTIE NICKERSON MS OTR/L
34 LOON DR
TOPSHAM, ME 04086-1538
Phone number: 207-837-4447