Individual
MS. GILLIAN ELISE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2301 YALE BLVD SE STE A3, ALBUQUERQUE, NM 87106-4350
(505) 385-8028
(855) 254-6287
Mailing address
2301 YALE BLVD SE STE A3, ALBUQUERQUE, NM 87106-4350
(505) 385-8028
(855) 254-6287
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1964
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14031078
—
NM
Enumeration date
03/12/2007
Last updated
08/23/2021
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