NICHOLAS PAUL DECKER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005745

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

PAUL

Last Name

DECKER

Business Name

NICHOLAS PAUL DECKER

Original Issue Date

03/08/2022

Effective Date

10/10/2025

Expiration Date

12/31/2027

City

HIGHLAND

State

Zip

46322

Ever Disciplined

LastModifiedDate

10/10/2025