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Nicholas Houston Dean, OT

Occupational Therapist in Winston Salem, NC. Individual provider (NPI-1).

NPI number1164091203
StatusActive
Last updated in NPPESAug 11, 2025

Details

NPI
1164091203
Entity type
Individual (NPI-1)
Name
Nicholas Houston Dean
Credential
OT
Sex
Male
Sole proprietor
No
Enumeration date
Jun 23, 2021
Certification date
Aug 11, 2025
Last updated
Aug 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist6959SCYes
225X00000X Occupational Therapist16516NC
225X00000X Occupational Therapist124578TX

Practice location

170 Kimel Park Dr
Winston Salem, NC 27103-6946

Phone 336-765-7058

Mailing address

Po Box 601791
Charlotte, NC 28260-1791

Phone 336-765-7058

Other practice locations

3575 Keith St Nw Ste 205
Cleveland, TN 37312-4326

Phone 423-559-0444

3250 Harden Street Ext Ste 100
Columbia, SC 29203-6842

Phone 803-509-6389

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