Individual
MASON ALAN BRAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
T-OTA
Contact information
Practice address
13825 W 85TH DR STE 200, ARVADA, CO 80005-1328
(720) 524-4659
Mailing address
1149 TIMBERVALE TRL, HIGHLANDS RANCH, CO 80129-6945
(714) 365-4842
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-OTA.0000016
DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
06/10/2020
Last updated
06/10/2020
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