Nicholas Myers, COTA/L
Occupational Therapy Assistant in Louisville, KY. Individual provider (NPI-1).
NPI number1982129276
StatusActive
Last updated in NPPESAug 8, 2017
Details
- NPI
- 1982129276
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Myers
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2017
- Last updated
- Aug 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 170476 | KY | Yes |
Practice location
9700 Stonestreet RdLouisville, KY 40272-2884
Phone 502-995-6600
Mailing address
8616 Standing Oak Dr Apt 3Louisville, KY 40258-1288
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