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Contact Information

NICKOLAS HETHERINGTON, OTR/L
1900 S HARBOR CITY BLVD STE 108
MELBOURNE, FL32901
 Phone: 833-684-5439
 Fax: 321-684-5439
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NICKOLAS HETHERINGTON · (Male)

NPI Number 1467804278
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 07/05/2016
Last updated 11/16/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OT17856
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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