NPI 1376860361
Teresa Renee Nickell, COTAL
Practice location
- Address
- 1000 Association Dr, Charleston, WV 25311-1270
- Phone
- (304) 347-4372
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1376860361
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Apr 2010
- Record last updated
- 29 Apr 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.