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Individual

ANNA BRABBINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
436 BROADWAY, 120, TACOMA, WA 98402-3908
(248) 514-8906
Mailing address
19660 RIVERSIDE DR, BEVERLY HILLS, MI 48025-2958
(248) 514-8906

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60484182
WA
225XP0200X
Pediatric Occupational Therapist
5201008864
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N/A
N/A
Enumeration date
09/04/2014
Last updated
09/04/2014
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