Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Marie Slack, OTR/L

Individual provider Occupational Therapist · NPI 1114176187

Nicole Marie Slack, OTR/L is an Occupational Therapist in Boca Raton, Florida. Practices as a sole proprietor. Licensed in Arizona, Georgia, Illinois and Michigan and 3 more.

Licensed in
AZ, GA, IL, MI, SC, TX
In the registry since
2008
Specialties on file
7
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

5901 Broken Sound Pkwy
Boca Raton, FL 33487-2773
Phone: (516) 367-1175
Fax: (561) 417-7443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT004788 (GA)
Occupational Therapist Taxonomy 225X00000X · Licence 5201006711 (MI)
Occupational Therapist Taxonomy 225X00000X · Licence 056007779 (IL)
Occupational Therapist Taxonomy 225X00000X · Licence 112483 (TX)
Occupational Therapist Taxonomy 225X00000X · Licence 3934 (AZ)
Occupational Therapist Taxonomy 225X00000X · Licence 3382 (SC)
Occupational Therapist Taxonomy 225X00000X · Licence 0119004412 (VA)

Record details

NPI number1114176187
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedSeptember 15, 2008
Last updated in NPPESSeptember 15, 2008

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