Individual
BRANDON CRISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
234 WILLARD ST, COCOA, FL 32922-7984
(321) 795-6007
(877) 787-5595
Mailing address
8584 EDEN ISLES LN, MERRITT ISLAND, FL 32952-6800
(321) 795-6007
(877) 787-5595
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11768
FL
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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