Individual
NICOLE BRDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
4045 E UNION HILLS DR, PHOENIX, AZ 85050-3386
(602) 485-4444
Mailing address
4045 E UNION HILLS DR, STE 110, PHOENIX, AZ 85050-3386
(602) 485-4444
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6318
AZ
Other
Enumeration date
10/18/2015
Last updated
06/14/2024
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