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Individual

BRITTANY RALENE CARRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
25615 N RANCH GATE RD, SCOTTSDALE, AZ 85255-2141
(480) 502-7726
Mailing address
2951 E FLORIAN AVE, MESA, AZ 85204-5527

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008255
AZ
225XP0200X
Pediatric Occupational Therapist
OTH-008255
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OTH-00825
AZ
Enumeration date
09/23/2020
Last updated
02/02/2022
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