Individual
BRIANNA RENE MARTINDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1601 COUNTY ROAD 107, HUTTO, TX 78634-3009
(254) 987-0405
Mailing address
607 BUFFALO PASS, ROUND ROCK, TX 78681-6511
(512) 217-4848
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
58066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58066
COUNCIL FOR THERAPEUTIC RECREATION CERTIFICATION
TX
Enumeration date
07/08/2021
Last updated
07/08/2021
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