Individual
BRAYLIE MCKENNA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
425 EDISON BLVD, XENIA, OH 45385-2253
(937) 372-7635
Mailing address
PO BOX 244, PIKETON, OH 45661-0244
(740) 977-8085
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT011967
OH
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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