Individual
BRANDEN KLEEHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
6941 300TH AVE N, CLEARWATER, FL 33761
(502) 645-9890
Mailing address
6941 300TH AVE N, CLEARWATER, FL 33761-1020
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14984
FL
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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