Individual
ANGELA BRANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4523 YELLOW BREECHES CREEK RD S, COSBY, TN 37722-3935
(912) 536-2355
Mailing address
4523 YELLOW BREECHES CREEK RD S, COSBY, TN 37722-3935
(912) 536-2355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018118
NY
Other
Enumeration date
06/13/2013
Last updated
08/08/2024
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