Individual
ALISSA ANNE BRAZIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
305 S 5TH ST, REHABCARE AT ST. MARY'S REGIONAL MEDICAL CTR, ENID, OK 73701-5832
(580) 548-5075
Mailing address
305 S 5TH ST, REHABCARE AT ST. MARY'S REGIONAL MEDICAL CTR, ENID, OK 73701-5832
(580) 548-5075
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3067
OK
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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