Individual
LINDA J. BRABHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
256 SMITH ST, WALTERBORO, SC 29488-4984
(843) 782-4516
Mailing address
611 COLLETON LOOP, WALTERBORO, SC 29488-3069
(843) 782-0022
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1579
SC
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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