Individual
MRS. BRANDI MARIE FOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
1154
WV
225X00000X
Occupational Therapist
Primary
05091
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186300200
—
MD
05
—
3810000617
—
WV
Enumeration date
02/12/2008
Last updated
08/12/2013
Update your record
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