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1568863777
BRANT MICHAEL WILLOUGHBY
FORT COLLINS, CO
NPI
1568863777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO 0000407)
Enumeration Date
2014-09-07
Last Update Date
2014-09-07
Business Address
BRANT MICHAEL WILLOUGHBY C.O.T.A.
1000 E STUART ST
FORT COLLINS, CO 80525-1555
Phone number: 970-482-5712
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Mailing Address
BRANT MICHAEL WILLOUGHBY C.O.T.A.
3634 BUTTERNUT DR
LOVELAND, CO 80538-7621
Phone number: 785-201-4132
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