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Contact Information

NICOLE F WALL, B.S.
778 WEST COCKATIEL LOOP
HERNANDO, FL34442
 Phone: 305-308-5816
 Fax: 305-243-3155
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NICOLE F WALL · (Female)

NPI # 1306020599
Status Active
Credentials B.S.
Entity Individual
Enumeration date 12/24/2007
Last updated 12/24/2007 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OT11286
  • FL Medicaid 889443400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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