Individual
MRS. VICKIE KAY BRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3875 LAKE PASS PT, SUWANEE, GA 30024-1818
(404) 729-9959
Mailing address
3875 LAKE PASS PT, SUWANEE, GA 30024-1818
(404) 729-9959
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001228
GA
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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