Individual
BRANDI COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3498 GREEN VALLEY RD, RESCUE, CA 95672-9625
(530) 391-8670
Mailing address
1124 FAIRWAY CT, MURPHYS, CA 95247-9520
(916) 835-0562
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2264
CA
Other
Enumeration date
07/26/2020
Last updated
07/26/2020
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