Individual
BRANDON BRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
350 E LA CANADA BLVD, AVONDALE, AZ 85323-1643
(623) 932-2282
Mailing address
19443 W MORNING GLORY DR, BUCKEYE, AZ 85326-5810
(330) 573-9566
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5089
AZ
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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