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Individual

NIKOLE S BRIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AAS,COTA

Contact information

Practice address
320 W BELT LINE RD STE 4032ND, CEDAR HILL, TX 75104-2096
(214) 470-0035
(888) 371-6987
Mailing address
2845 LIVERPOOL LN, GRAND PRAIRIE, TX 75052-8383
(214) 470-0035
(888) 371-6987

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215377
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
215377
TBOTE
TX
Enumeration date
08/27/2018
Last updated
08/27/2018
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