Organization
AMY BRACKEN, PLLC
Active
Other names
Gateway Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BRACKEN MOTR/L (OWNER/THERAPIST)
(828) 337-3553
Entity
Organization
Contact information
Practice address
212 S HILLANDALE DR, EAST FLAT ROCK, NC 28726-2610
(828) 337-3553
(855) 764-0273
Mailing address
212 S HILLANDALE DR, EAST FLAT ROCK, NC 28726-2610
(828) 337-3553
(855) 764-0273
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7302086
—
NC
Enumeration date
02/05/2020
Last updated
02/05/2020
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