Carla Sue Nicholas in Boardman - Occupational Therapist
Carla Sue Nicholas - NPI 1104947449
Carla Sue Nicholas is a Occupational Therapist in Boardman, Ohio. Carla Sue Nicholas practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Carla Sue Nicholas is 1104947449. The last update date is 2016-11-30.
Carla Sue Nicholas's current location address is 7620 Southern Blvd, Boardman, Ohio. You can contact this provider via phone number 3309659330 and fax number 3309659308. The mailing address for Carla Sue Nicholas is 7620 Southern Blvd, Boardman, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carla Sue Nicholas |
|---|---|
| Address | 7620 Southern Blvd, Boardman, Ohio |
| Phone Number | 3309659330 |
| Fax Number | 3309659308 |
| Sole Proprietor | N |
| Credentials | OCCUPATION |
NPI Number Detail
| NPI Number | 1104947449 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2016-11-30 |
Provider Mailing Address Detail
| Address | 7620 Southern Blvd |
|---|---|
| City | Boardman |
| State | Ohio (OH) |
| Post Code | 445125667 |
| Phone Number | 3309659330 |
| Fax Number | 3309659308 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT-03869 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 956112 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Carla Sue Nicholas by the Centers for Medicare & Medicaid Services (CMS)?
The Carla Sue Nicholas has been assigned the NPI (National Provider Identifier) 1104947449. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Carla Sue Nicholas located?
The Carla Sue Nicholas is located at 7620 Southern Blvd, Boardman, OH 445125667.
What is Carla Sue Nicholas's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carla Sue Nicholas is Occupational Therapist, and the taxonomy code that classifies this field of practice is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104947449 to Carla Sue Nicholas?
The Centers for Medicare & Medicaid Services assigned the 1104947449 to Carla Sue Nicholas on 2007-04-03.
When was the Carla Sue Nicholas's information last updated?
The Carla Sue Nicholas's information was last updated on 2016-11-30.