Individual
BRANTLEY ROBBIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
7501 AUDEN TRL, ATLANTA, GA 30350-5002
(770) 394-9791
(770) 394-7803
Mailing address
7501 AUDEN TRL, ATLANTA, GA 30350-5002
(770) 394-9791
(770) 394-7803
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004694
GA
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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