Individual
MINDA BRACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 PEERY RD, KINGSTON SPRINGS, TN 37082-8950
(615) 952-3280
Mailing address
1070 PEERY RD, KINGSTON SPRINGS, TN 37082-8950
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
869
TN
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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