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Individual

MRS. EILEEN ANN BRANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4000 KINGS HWY, PORT CHARLOTTE, FL 33980-8718
(941) 255-5855
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056003778
IL
225X00000X
Occupational Therapist
Primary
560121549
FL

Other

Enumeration date
02/01/2009
Last updated
12/09/2021
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