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Individual

MRS. NICOLE WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
3033 SARNO RD, MELBOURNE, FL 32934-7229
(321) 255-9200
Mailing address
2929 LAKELAND AVE SW, PALM BAY, FL 32908-4833
(321) 368-7273

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13105
FL

Other

Enumeration date
10/29/2014
Last updated
03/23/2016
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