Individual
BRANDI HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
841 W MARION RD, MOUNT GILEAD, OH 43338-1094
(419) 947-2015
Mailing address
715 BOYD BLVD, GALION, OH 44833-2430
(567) 307-2577
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007095
OH
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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