JIMMY DALE BRANNON

FORDSVILLE, KY
NPI1174720445
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KY  A3397)
Enumeration Date2007-06-29
Last Update Date2007-07-08
Business Address
Mr. JIMMY DALE BRANNON COTA,L
313 MAIN
FORDSVILLE, KY 42343
Phone number: 270-276-5435
Mailing Address
Mr. JIMMY DALE BRANNON COTA,L
813 BROAD ST
CENTRAL, KY 42330
Phone number: 270-754-5280