Individual
NICOLE PARADISO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3433 11TH ST, BROOKHAVEN, PA 19015-2601
(610) 457-4810
Mailing address
3433 11TH ST, BROOKHAVEN, PA 19015-2601
(610) 457-4810
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008172
PA
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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