Pennsylvania
Department of State
NICOLE M PRUITT
Occupational Therapy Assistant
License number
OP005997
Date granted
07/16/2003
Date expires
06/30/2015
Class
Occupational Therapy Assistant
Status
Active
Address
Prospect Park PA 19076
palicensing.org
ID 16931888
LAST UPDATED 2026-05-12 15:35:00 UTC
LAST UPDATED 2026-05-12 15:35:00 UTC
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