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Individual

MS. BRANDI SUZANNE GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
401A BAY ST, GADSDEN, AL 35901-5107
(256) 546-2799
(256) 546-2720
Mailing address
117 BRANCHWOOD LN, CENTRE, AL 35960-2130
(256) 546-2799
(256) 546-2720

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1673
AL

Other

Enumeration date
09/21/2006
Last updated
07/08/2007
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