Individual
MRS. SUZANNE SMITH BRANDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, CHT
Contact information
Practice address
511 N BROAD ST, PHILADELPHIA, PA 19123-3230
(215) 923-6031
(215) 923-8269
Mailing address
11 VICTORIA DRIVE, WOOLWICH, NJ 08085
(215) 378-1856
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC006788-L
PA
225XH1200X
Hand Occupational Therapist
Primary
1051100607
PA
Other
Enumeration date
03/17/2006
Last updated
03/26/2014
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