Individual
BRANDY NICOLE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
850 E BUTLER RD, GREENVILLE, SC 29607-5842
(864) 675-6421
Mailing address
38 ENDEAVOR CIR, MAULDIN, SC 29662-2451
(864) 940-5197
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2819
SC
Other
Enumeration date
04/01/2010
Last updated
03/17/2011
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