Individual provider · Type 1 NPI

Patricia Ann Nickol, ITDS

Developmental Therapist · Seminole, FL

NPI number 1922585405 Active

Practice location

8988, 79th Ave N
Seminole, FL 33777

Call (727) 798-0417 Map

Mailing address

8988 79th Ave N
Seminole, FL 33777

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1922585405

Patricia Ann Nickol, ITDS's National Provider Identifier is 1922585405, issued on Jul 26, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Seminole, FL. The record was last updated on Jul 26, 2018.