Individual
SHARON NICOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
10 N MAIN STREET, BRISTOL, CT 06010
(860) 584-1485
(860) 585-5445
Mailing address
181 PATRICIA M GENOVA DRIVE, EASTERN REHABILITATION NETWORK, NEWINGTON, CT 06111
(860) 667-5480
(860) 667-8416
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000922
CT
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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