Provider Demographics
NPI:1992426704
Name:NICKSON, CLAIRE E (OT)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:E
Last Name:NICKSON
Suffix:
Gender:
Credentials:OT
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:HAMLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12952 BANDERA RD
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4689
Mailing Address - Country:US
Mailing Address - Phone:210-253-3888
Mailing Address - Fax:210-253-3889
Practice Address - Street 1:20821 US HIGHWAY 281 N STE 110
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7594
Practice Address - Country:US
Practice Address - Phone:210-610-4480
Practice Address - Fax:210-334-0948
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201013053225X00000X, 225XP0200X
TX125500225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics