Nicole Kilijanczyk, OTR/L
Occupational Therapist in Tucson, AZ. Individual provider (NPI-1).
NPI number1124525852
StatusActive
Last updated in NPPESOct 8, 2024
Details
- NPI
- 1124525852
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole Kilijanczyk
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2018
- Certification date
- Oct 8, 2024
- Last updated
- Oct 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OTH-009674 | AZ | Yes |
| 225X00000X | Occupational Therapist | OT010141 | OH |
Other names
- Nicole Jeschelnig (Former Name)
Practice location
5700 E Pima St Ste GTucson, AZ 85712-5638
Phone 520-232-2021
Mailing address
1831 W Rose Garden Ln Ste 4Phoenix, AZ 85027-2725
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