Nicole Alena Althage, COTA/L Valid NPI
Individual provider · Occupational Therapy Assistant · O Fallon, MO
- NPI
- 1568240836
- Type
- Individual (Type 1)
- Primary specialty
- Occupational Therapy Assistant
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 224Z00000X
- License number
- 2023036837 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2023-09-18
- Last updated
- 2023-09-18
Practice location
1370 Shallow Lake Dr
O Fallon, MO 63366-3711
(314) 496-3820