Individual
NICOLE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT R/L
Contact information
Practice address
3509 GRANBY ST STE B, NORFOLK, VA 23504-1312
(757) 423-8885
(757) 423-8886
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008759
VA
Other
Enumeration date
10/07/2020
Last updated
08/19/2021
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