Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 224Z00000X | Occupational Therapy Assistant | 112823 | TX |
Y | 225X00000X | Occupational Therapist | 2792 | AL |
N | 225X00000X | Occupational Therapist | OT004804 | GA |
NPI | 1003066903 |
---|---|
Provider Name | Nicole Jean Rollier |
First Address | Birmingham, AL 35211-5965 |
Second Address | Birmingham, AL 35211-5965 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2008 |
Last Update Date | 23/09/2014 |