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1932652690
NICHOLAS BRANDON PRATER
OVIEDO, FL
NPI
1932652690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA 15403)
Enumeration Date
2016-07-29
Last Update Date
2016-07-29
Business Address
Mr. NICHOLAS BRANDON PRATER COTA/L
1000 W BROADWAY ST STE #214
OVIEDO, FL 32765-9260
Phone number: 407-359-5693
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Mailing Address
Mr. NICHOLAS BRANDON PRATER COTA/L
1809 E BROADWAY ST #122
OVIEDO, FL 32765-8597
Phone number: 407-359-5693
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