Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carl Gerald Nicolas

Individual provider Occupational Therapist · NPI 1093687105

Carl Gerald Nicolas is an Occupational Therapist in Brockton, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2025

Practice location Address checks out

75 Eaton St
Brockton, MA 02301-2633
Phone: (774) 444-9260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 14814 (MA)

Record details

NPI number1093687105
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 18, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 18, 2025
Mailing address75 Eaton St, Brockton, MA 02301-2633

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