Individual
BRETT TYLER BUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
1721 GRIFFIN AVE, LOS ANGELES, CA 90031-3312
(323) 221-4134
Mailing address
1540 ALCAZAR ST # ST-133, LOS ANGELES, CA 90089-0080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2017
Last updated
05/14/2020
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