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Individual

CARRIE ANN BRANGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., OTR/L

Contact information

Practice address
529 WESTPORT RD, ELIZABETHTOWN, KY 42701-2923
(502) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
248555
KY
225X00000X
Occupational Therapist
248555

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
248555
KY OCCUPATIONAL THERAPY BOARD
KY
Enumeration date
07/23/2019
Last updated
06/29/2021
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