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Individual

MRS. NICOLE RENEE BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
717 NEIL AVE, COLUMBUS, OH 43215-1609
(614) 228-8888
Mailing address
422 SHERIDAN ST, ZANESVILLE, OH 43701-2556
(740) 503-9883

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
02256
OH

Other

Enumeration date
01/09/2019
Last updated
01/22/2019
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