Individual
BRIAN SHARP UNTHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 100, MILWAUKIE, OR 97222-4628
(971) 206-5202
(971) 206-5203
Mailing address
1245 POPLAR DR, OAKLEY, CA 94561-3523
(925) 684-1004
(925) 684-1004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9908
CA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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