Nichole Chauntelle Wilson
Nichole Chauntelle Wilson is a Developmental Therapist in Idaho Falls, Idaho. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
150 Shoup AveIdaho Falls, ID 83402-3657
Phone: (208) 359-4778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1740730811 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 12, 2016 |
| Last updated in NPPES | October 12, 2016 |
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