Individual
KELLIE BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5920 SW 68TH ST, SOUTH MIAMI, FL 33143-3524
(305) 270-9026
Mailing address
18420 SW 79TH CT, CUTLER BAY, FL 33157-7446
(305) 232-1218
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT3867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882186100
—
FL
Enumeration date
12/30/2009
Last updated
12/30/2009
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