JUSTIN BRAZEAL

RUSSELLVILLE, AR
NPI1366792079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AR  OTR2546)
Enumeration Date2012-09-11
Last Update Date2023-01-31
Business Address
JUSTIN BRAZEAL MS, OTR/L
1301 RUSSELL RD
RUSSELLVILLE, AR 72802-4320
Phone number: 479-967-2316
Mailing Address
JUSTIN BRAZEAL MS, OTR/L
P.O. DRAWER 2109
RUSSELLVILLE, AR 72811
Phone number: 479-967-2322