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

Mrs. Carly Anne Nichols, OTDOTR/L

Individual provider Occupational Therapist · NPI 1679119036

Mrs. Carly Anne Nichols, OTDOTR/L is an Occupational Therapist in Wiggins, Mississippi. Practices as a sole proprietor and works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2019

Practice location Address checks out

1601 Central Ave W
Wiggins, MS 39577-2401
Phone: (601) 716-3196
Fax: (601) 974-9919
Show map & directions

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

Additional practice locations (1)

  • 1620 Highway 11 N Ste C, Picayune, MS 39466-2070 — (769) 242-2626

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT-4116 (MS)

Record details

NPI number1679119036
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTDOTR/L
Sole proprietorYes
NPI enumeratedNovember 20, 2019
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024

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