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1407913627
CONSTANCE MARIE BRAKE
GREENSBORO, NC
NPI
1407913627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 4237)
Enumeration Date
2007-01-03
Last Update Date
2011-07-07
Business Address
Mrs. CONSTANCE MARIE BRAKE MS OTRL
5415 W FRIENDLY AVE STE A
GREENSBORO, NC 27410-4255
Phone number: 336-772-5499
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Mailing Address
Mrs. CONSTANCE MARIE BRAKE MS OTRL
130 PARK BOULEVARD
WINSTON SALEM, NC 27127-2042
Phone number:
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