National Provider Identifier
Nicole M. Wilson, C.O.T.A.
Nicole M. Wilson, C.O.T.A. is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Grand Island, NY and a listed phone number of (716) 773-4323.
Profile Overview
- NPI
- 1790093748
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- September 23, 2010
- Last Updated
- September 23, 2010
Practice Location
- 1801 Grand Island Blvd
- Grand Island, NY 14072-2171
Phone: (716) 773-4323
Mailing Address
- 448 Ashford Ave
- Tonawanda, NY 14150-7002
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1790093748
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Nicole
- Middle Name
- M.
- Name Prefix
- Mrs.
- Credential
- C.O.T.A.
- Mailing Street Address
- 448 Ashford Ave
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-7002
- Mailing Country
- US
- Mailing Phone
- (716) 773-4323
- Practice Street Address
- 1801 Grand Island Blvd
- Practice City
- Grand Island
- Practice State
- NY
- Practice ZIP Code
- 14072-2171
- Practice Country
- US
- Practice Phone
- (716) 773-4323
- Enumeration Date
- September 23, 2010
- Last Updated
- September 23, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)