Individual
BRANT DEWAYNE RHODES
Active
Individual
BRANT DEWAYNE RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
106476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2999829
CIGNA
TX
01
—
5943709
AETNA
TX
01
—
8T2786
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
06/02/2006
Last updated
10/23/2007
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