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Individual
SARA BRANTLEY
Active
Individual
SARA BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112229
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338704501
—
TX
01
—
8TAB73
BCBS
TX
Enumeration date
09/17/2014
Last updated
03/12/2015
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