Individual
BRANDON MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
823 W MICHIGAN AVE, MARSHALL, MI 49068-1445
(269) 248-4300
(269) 781-5505
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010163
MI
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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