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MRS. NICHOLE L JONES COTA/L

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1467646695

Individual Registrant:
MRS. NICHOLE L JONES COTA/L
Gender: F
Sole Proprietor

Location and contact information for practice:
204 S ERIC AVE  CROOKS, SD 57020-2088 US
Tel: 605-553-3143  Fax: --

Contact information for business:
204 S ERIC AVE  CROOKS, SD 57020-2088 US
Tel: 605-553-3143  Fax: --

Registration Information:
NPI: 1467646695
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
SD187A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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