Individual
BRIANNA K OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1800 PENN ST, SUITE 12, MELBOURNE, FL 32901-2643
(321) 768-6800
(321) 768-6858
Mailing address
167 KRISTI DR, INDIAN HARBOUR BEACH, FL 32937-4161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12759
FL
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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