Individual
MISS ANGELA JENISE BRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
604 LUCAS RD, DUNN, NC 28334-6623
(910) 891-4600
Mailing address
604 LUCAS RD, DUNN, NC 28334-6623
(910) 891-4600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7469
NC
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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