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Individual

ANNALISA BRAWDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5728 MAJOR BLVD STE 600, ORLANDO, FL 32819-7970
(407) 280-3776
(407) 454-9007
Mailing address
5728 MAJOR BLVD STE 600, ORLANDO, FL 32819-7970
(407) 280-3776
(407) 454-9007

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17540
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTA17540
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
03/12/2020
Last updated
03/13/2020
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