BRANDON BRACY

AVONDALE, AZ
NPI1801427596
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  5089)
Enumeration Date2020-01-31
Last Update Date2020-01-31
Business Address
BRANDON BRACY COTA/L
350 E LA CANADA BLVD
AVONDALE, AZ 85323-1643
Phone number: 623-932-2282
Mailing Address
BRANDON BRACY COTA/L
19443 W MORNING GLORY DR
BUCKEYE, AZ 85326-5810
Phone number: 330-573-9566