Individual
ALEXIS BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3130 SE STARK ST, PORTLAND, OR 97214-3000
(503) 535-4700
Mailing address
15403 REDBUD BERRY WAY, CYPRESS, TX 77433-5888
(713) 409-9155
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
474029
OR
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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