Individual
MRS. BRANDY MARRE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
20910 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-6302
(253) 862-2575
(253) 862-2675
Mailing address
20910 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-6302
(253) 862-2575
(253) 862-2675
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002249
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246111
LI
WA
05
—
8368854
—
WA
Enumeration date
08/02/2006
Last updated
05/21/2013
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