Individual
MRS. BRANDE BARLOW OGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
715 8TH AVE, EASTMAN, GA 31023-5913
(912) 399-4444
Mailing address
715 8TH AVE, EASTMAN, GA 31023-5913
(912) 399-4444
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
073-0000188
VT
224Z00000X
Occupational Therapy Assistant
Primary
OTA001089
GA
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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