NPI 1003147489
Nicole Wilson
Practice location
- Address
- 3301 College Ave, Davie, FL 33314-7721
- Phone
- (954) 262-7124
- Mailing address
- 1734 E Harmony Lake Cir, Davie, FL 33324-7123
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1003147489
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Jan 2010
- Record last updated
- 18 Nov 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.