| NPI | 1417256041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KEITH BRANNEN Owner 334-235-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: AL 0249) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: AL 2182) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2018-10-17 |