Individual
MRS. BRANDY DOVER LANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2401 E BLACKSTOCK RD, ROEBUCK, SC 29376-3206
(864) 576-6151
Mailing address
2401 E BLACKSTOCK RD, ROEBUCK, SC 29376-3206
(864) 576-6151
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3191
SC
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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