Individual
MR. BRANDON SCOTT HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOT
Contact information
Practice address
117 MILLARD LN, BLOUNTVILLE, TN 37617-5450
(276) 393-5047
Mailing address
117 MILLARD LN, BLOUNTVILLE, TN 37617-5450
(276) 393-5047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119005374
VA
225X00000X
Occupational Therapist
Primary
4323
TN
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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