Individual
KATHLEEN SMITH BRANNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
1019 BROOMSEDGE TER, WILMINGTON, NC 28412-1054
(336) 207-4410
Mailing address
1019 BROOMSEDGE TER, WILMINGTON, NC 28412-1054
(336) 207-4410
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2052
NC
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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