Individual
MS. MICHELLE R. BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4436 COLLEEN CV, NICEVILLE, FL 32578-2467
(757) 270-0227
Mailing address
4436 COLLEEN CV, NICEVILLE, FL 32578-2467
(757) 270-0227
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16181
FL
Other
Enumeration date
04/18/2012
Last updated
09/14/2025
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