Tisha Nichols
Occupational Therapy Assistant in Columbia, MO. Individual provider (NPI-1).
NPI number1477259752
StatusActive
Last updated in NPPESFeb 7, 2023
Details
- NPI
- 1477259752
- Entity type
- Individual (NPI-1)
- Name
- Tisha Nichols
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2023
- Certification date
- Feb 7, 2023
- Last updated
- Feb 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 2011040057 | MO | Yes |
Practice location
3710 S Lenoir StColumbia, MO 65201-5463
Phone 573-876-5800
Mailing address
5203 Lookout Peak DrColumbia, MO 65202-3563
Phone 573-864-7521
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Other Occupational Therapy Assistant providers in Columbia, MO
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All 34 Occupational Therapy Assistant providers in Columbia · All 7,043 providers in Columbia
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