Organization
BRABHAM REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY TYLER BRABHAM OTR/L,CLT (MANAGER/OWNER)
(706) 339-1635
Entity
Organization
Contact information
Practice address
4300 NANDINA CT, EVANS, GA 30809-5269
(706) 339-1635
(706) 945-1630
Mailing address
4300 NANDINA CT, EVANS, GA 30809-5269
(706) 339-1635
(706) 945-1630
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2579
SC
225X00000X
Occupational Therapist
Primary
3450
GA
Other
Enumeration date
05/05/2011
Last updated
07/04/2011
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