Individual
EMILY BRACKENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
321 W BEN WHITE BLVD STE 101, AUSTIN, TX 78704-7086
(512) 215-9272
(512) 215-8934
Mailing address
1033 LA POSADA DR STE 230, AUSTIN, TX 78752-3842
(512) 284-7192
(512) 284-7203
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115404
LICENSE
TX
Enumeration date
02/01/2010
Last updated
11/16/2021
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