Individual
NICHOLE RENE BONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6825 NATURAL BRIDGE RD, SAINT LOUIS, MO 63121-5314
(618) 401-5800
Mailing address
7255 CULP TER, BETHALTO, IL 62010-2425
(618) 401-5800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
Other
Enumeration date
06/21/2020
Last updated
06/21/2020
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