Individual
MR. NICHOLAS BRANDON PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1000 W BROADWAY ST, STE #214, OVIEDO, FL 32765-9260
(407) 359-5693
(407) 792-5693
Mailing address
1809 E BROADWAY ST, #122, OVIEDO, FL 32765-8597
(407) 359-5693
(407) 792-5693
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 15403
FL
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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