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Contact Information

NICOLE R SANDERS, COTA/L
2927 S FISH HATCHERY RD
FITCHBURG, WI53711
 Phone: 608-816-6394
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
 

Recreational Therapist Assistant

226000000X
Indicates primary specialty

NPI Profile & details for NICOLE R SANDERS · (Female)

NPI Number 1487137220
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 09/07/2018
Last updated 09/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 5534-27
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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