Nichols Bradley Alberty, LICENSED ORTHOTIST

NPI #1891225686 in Tahlequah, Oklahoma

Provider Information

NPI Number: 1891225686
Entity Type: Individual
Name: Nichols Bradley Alberty, LICENSED ORTHOTIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthotist
Credential: LICENSED ORTHOTIST
Enumeration Date: Jun 14, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1294 EAST DOWNING
Address 2: SUITE 3
City: Tahlequah
State: Oklahoma
ZIP Code: 74464
Phone: (918) 431-1945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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