LARRY B BRAZELL

MAULDIN, SC
NPI1790718294
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  2281)
Enumeration Date2006-07-08
Last Update Date2007-07-08
Business Address
-- LARRY B BRAZELL
213 E BUTLER RD BLDG E2
MAULDIN, SC 29662-2172
Phone number: 864-984-0832
Mailing Address
-- LARRY B BRAZELL
PO BOX 369
SIMPSONVILLE, SC 29681-0369
Phone number: 864-201-4301