Individual
BRANDI GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17811 HAZELWOOD COURT, CARSON, CA 90746
(310) 753-9259
Mailing address
17811 HAZELWOOD COURT, CARSON, CA 90746
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9814
CA
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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