Provider Demographics
NPI:1780443978
Name:HELMERS, NICOLE ANN (OTR/L)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:ANN
Last Name:HELMERS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7272 DALEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-3469
Mailing Address - Country:US
Mailing Address - Phone:513-748-1681
Mailing Address - Fax:
Practice Address - Street 1:5200 CAMELOT DR LOT
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-4009
Practice Address - Country:US
Practice Address - Phone:513-829-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTOT009803225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist