Individual
AMY LYNN BRAZIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4009 CRAIG AVE, CHARLOTTE, NC 28211-2505
(704) 365-2620
Mailing address
1052 TABARD LN, MATTHEWS, NC 28104-8059
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15311
NC
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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