Individual
VICTORIA BRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 CADIZ RD, BUMPUS MILLS, TN 37028-6024
(931) 291-5507
Mailing address
3620 CADIZ RD, BUMPUS MILLS, TN 37028-6024
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3067
TN
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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