Individual
AUSTIN CONNOR BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT, LOTR
Contact information
Practice address
67252 INDUSTRY LN, COVINGTON, LA 70433-8704
(985) 801-6265
(985) 801-6213
Mailing address
1612 VERSAILLES BUSINESS PKWY APT 513, COVINGTON, LA 70433-6180
(318) 423-9563
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
331744
LA
Other
Enumeration date
07/19/2022
Last updated
08/17/2022
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