Individual provider · Type 1 NPI

Nicole Marie Slack, OTR/L

Occupational Therapist · Boca Raton, FL

NPI number 1114176187 Active

Practice location

5901 Broken Sound Pkwy
Boca Raton, FL 33487-2773

Call (516) 367-1175 Map

Fax (561) 417-7443

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT004788 (GA)
Occupational Therapist 225X00000X5201006711 (MI)
Occupational Therapist 225X00000X056007779 (IL)
Occupational Therapist 225X00000X112483 (TX)
Occupational Therapist 225X00000X3934 (AZ)
Occupational Therapist 225X00000X3382 (SC)
Occupational Therapist 225X00000X0119004412 (VA)

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 1114176187

Nicole Marie Slack, OTR/L's National Provider Identifier is 1114176187, issued on Sep 15, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Boca Raton, FL. The record was last updated on Sep 15, 2008.