Individual
BRANDON JOE BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
6060 E ILIFF AVE, DENVER, CO 80222-5721
(303) 759-4221
Mailing address
2330 S KEARNEY ST APT 115, DENVER, CO 80222-6459
(765) 499-4969
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
280887
CO
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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