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1316128465
BRANDY DAVIS GREEN
WILMINGTON, NC
NPI
1316128465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 5102)
Enumeration Date
2007-11-16
Last Update Date
2011-04-27
Business Address
Mrs. BRANDY DAVIS GREEN COTA/L
1007 PORTERS NECK RD.
WILMINGTON, NC 28405
Phone number: 910-686-6506
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Mailing Address
Mrs. BRANDY DAVIS GREEN COTA/L
508 GREEN MEADOWS DR
WILMINGTON, NC 28405-3718
Phone number: 910-395-4823
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