Individual provider · Type 1 NPI

Carla Sue Nicholas, OT

Occupational Therapist · Boardman, OH

NPI number 1104947449 Active

Practice location

7620 Southern Blvd, Ste 3
Boardman, OH 44512-5667

Call (330) 965-9330 Map

Fax (330) 965-9308

Mailing address

1397 S Canfield Niles Rd Unit 1
Austintown, OH 44515-4084

Other practice locations

  • 7630 Southern Blvd, Youngstown, OH 44512-5633 · (330) 729-8262
  • 250 Debartolo Pl Ste 1100, Youngstown, OH 44512-7004 · (234) 287-6660

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT003869 (OH)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1104947449

Carla Sue Nicholas, OT's National Provider Identifier is 1104947449, issued on Apr 3, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Boardman, OH. The record was last updated on Dec 16, 2025.