Individual
BRANDON IMAMSHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3700 GOSFORD RD, STE G, BAKERSFIELD, CA 93309-7694
(661) 832-9737
(661) 832-9738
Mailing address
1201 23RD ST, BAKERSFIELD, CA 93301-2306
(661) 633-3954
(661) 327-2311
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
282234
OR
225X00000X
Occupational Therapist
Primary
OT13766
CA
225X00000X
Occupational Therapist
OT60203079
WA
Other
Enumeration date
10/27/2014
Last updated
10/20/2015
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