Individual
MARY BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2804 GREENHILL BLVD NW, SUITE 102, FORT PAYNE, AL 35968-3066
(256) 979-1222
(256) 979-1223
Mailing address
2804 GREENHILL BLVD NW, SUITE 102, FORT PAYNE, AL 35968-3066
(256) 979-1222
(256) 979-1223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4423
AL
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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