Individual
PROF. BRANDON PAUL BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119083
TX
225X00000X
Occupational Therapist
Z12105
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z12105
OT LA LICENSE
LA
Enumeration date
07/04/2006
Last updated
06/17/2025
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