BRANT MICHAEL WILLOUGHBY

FORT COLLINS, CO
NPI1568863777
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CO  0000407)
Enumeration Date2014-09-07
Last Update Date2014-09-07
Business Address
-- BRANT MICHAEL WILLOUGHBY C.O.T.A.
1000 E STUART ST
FORT COLLINS, CO 80525-1555
Phone number: 970-482-5712
Mailing Address
-- BRANT MICHAEL WILLOUGHBY C.O.T.A.
3634 BUTTERNUT DR
LOVELAND, CO 80538-7621
Phone number: 785-201-4132