Individual
BRANDON STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0035
Mailing address
5407 PLATEAU RD, FAYETTEVILLE, NC 28303-2734
(910) 476-3495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7835
NC
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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