Individual
NICOLE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1 WINDGATE WAY, HIGHLAND, NY 12528-2143
(845) 691-6800
(845) 691-2858
Mailing address
7 BARTLETT DR, MIDDLETOWN, NY 10941-1001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006887-1
NY
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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