Individual
MRS. SUZETTA ROGERS BRAZILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
91 BARRINGTON FARMS PKWY, SHARPSBURG, GA 30277-1853
(404) 667-5158
(404) 667-5158
Mailing address
91 BARRINGTON FARMS PKWY, SHARPSBURG, GA 30277-1853
(404) 667-5158
(404) 667-5158
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
02440
NE
225XG0600X
Gerontology Occupational Therapist
Primary
02440
NE
225XM0800X
Mental Health Occupational Therapist
02440
NE
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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