Individual
CASEY BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
800 N JIM WRIGHT FWY # 2, WHITE SETTLEMENT, TX 76108-1068
(817) 900-8441
Mailing address
800 N JIM WRIGHT FWY # 2, WHITE SETTLEMENT, TX 76108-1068
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212372
TX
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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