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Mrs. Corri Sueko Nickele, OTRL
Specialist in Glendale, Arizona
NPI 1538294277

Corri Sueko Nickele is a Specialist based in Glendale, AZ. Corri Sueko Nickele practices in Glendale, AZ and has the professional credentials of OTRL. The NPI Number for Corri Sueko Nickele is 1538294277 and holds a License No. 3074 (Arizona).

The current practice location address for Corri Sueko Nickele is 6373 W Golden Ln, Glendale, AZ and can be reached out via phone at 623-937-1676. You can also correspond with Corri Sueko Nickele through the mailing address at 6373 W GOLDEN LN, GLENDALE, AZ - 85302-4437 (mailing address contact number: 623-937-1676).

Location: 6373 W Golden Ln, Glendale, AZ, 85302-4437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538294277
Provider Name
Corri Sueko Nickele
Credential
OTRL
Provider Entity Type
Individual
Gender
Female
Address
6373 W Golden Ln, Glendale, AZ, 85302-4437
Phone Number
623-937-1676
Fax Number
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3074 01 AZ OCC. THERAPY LICENSE
institution
Provider Business Practice Location Address Details
Address
6373 W Golden Ln
City
Glendale
State
Arizona
Zip
85302-4437
Phone Number
623-937-1676
Fax Number
person
Provider Business Mailing Address Details
Address
6373 W Golden Ln
City
Glendale
State
Arizona
Zip
85302-4437
Phone Number
623-937-1676
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
3074 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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