Individual
BRIANNE LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ORT/L
Contact information
Practice address
8 WALTER MARTIN RD NE, FORT WALTON BEACH, FL 32548-4960
(850) 862-7227
Mailing address
808 BOULEVARD DE LORLEANS, MARY ESTHER, FL 32569-2311
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14512
—
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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