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Individual

BRADY BURKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
3001 S JACKSON ST, SAN ANGELO, TX 76904-5129
(325) 223-6300
Mailing address
3001 S JACKSON ST, SAN ANGELO, TX 76904-5129

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120585
TX

Other

Enumeration date
02/10/2020
Last updated
02/10/2020
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