Individual
NICHOLS BRADLEY ALBERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED ORTHOTIST
Contact information
Practice address
1294 EAST DOWNING, SUITE 3, TAHLEQUAH, OK 74464
(918) 431-1945
(918) 431-1974
Mailing address
1294 E DOWNING ST STE 3, TAHLEQUAH, OK 74464-3363
(918) 431-1945
(918) 431-1974
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
62
OK
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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