JASMINE N BRADDOCK

PUEBLO, CO
NPI1669076634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CO  OT.0005157)
Enumeration Date2020-11-30
Last Update Date2020-11-30
Business Address
JASMINE N BRADDOCK OTR/L
619 HARRISON ST
PUEBLO, CO 81004-1457
Phone number: 850-723-1642
Mailing Address
JASMINE N BRADDOCK OTR/L
619 HARRISON ST
PUEBLO, CO 81004-1457
Phone number: 850-723-1642