Individual
BRYAN MCINNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 BROWARD AVE, LABELLE, FL 33935-4903
(863) 675-1440
Mailing address
276 S CYPRESS ST, LABELLE, FL 33935-4829
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18741
FL
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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