Individual
BRANDI A MALBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1510 N GOOS BLVD, LAKE CHARLES, LA 70601-1062
(337) 513-8353
Mailing address
1510 N GOOS BLVD, LAKE CHARLES, LA 70601-1062
(337) 513-8353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216006
TX
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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