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Nicole Blackwell, COTA/L

NPI 1366802704 · on the registry since 2016 · sole proprietor

Practice

Address
815 Wentworth Dr Ne
Concord, NC 28025
Phone
(704) 796-2850

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina