National Provider Identifier
Devonethe Aretha Nixon, OTR/L
Devonethe Aretha Nixon, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Rochester, NY and a listed phone number of (120) 385-0041.
Profile Overview
- NPI
- 1023741477
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- July 04, 2022
- Last Updated
- July 04, 2022
Practice Location
- 4 Serenity Cir
- Rochester, NY 14608-2954
Phone: (120) 385-0041
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1023741477
- Entity Type
- Individual
- Last Name
- Nixon
- First Name
- Devonethe
- Middle Name
- Aretha
- Credential
- OTR/L
- Mailing Street Address
- 4 Serenity Cir
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14608-2954
- Mailing Country
- US
- Mailing Phone
- (120) 385-0041
- Practice Street Address
- 4 Serenity Cir
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-2954
- Practice Country
- US
- Practice Phone
- (120) 385-0041
- Enumeration Date
- July 04, 2022
- Last Updated
- July 04, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- July 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)