Individual
MS. CHARLENE MARIE BRANTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
929 14TH ST, HUNTINGDON, PA 16652-3028
(814) 643-0337
(814) 643-9231
Mailing address
726 W 3RD ST, WILLIAMSBURG, PA 16693-1126
(814) 832-4631
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC007390L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01898659
—
PA
Enumeration date
02/08/2007
Last updated
07/09/2007
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