Individual
DEVIN ALVAH BRANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
28 GILMAN PLZ, BANGOR, ME 04401-3561
(207) 990-0162
Mailing address
7 THOMAS WAY APT 1, ORRINGTON, ME 04474-3264
(207) 598-6998
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA2305
ME
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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