Individual
NICOLE BRYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1410 PIN OAK DR, LAWRENCE, KS 66044-1001
(316) 304-9565
Mailing address
2400 SW URISH RD, TOPEKA, KS 66614-4347
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
11/10/2020
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