Organization
THER-ACHIEVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDA JO BRAUNAGEL OTR (OCCUPATIONAL THERAPIST)
(765) 525-7269
Entity
Organization
Contact information
Practice address
5755 E STATE ROAD 244, SHELBYVILLE, IN 46176-8817
(765) 525-7269
Mailing address
5755 E STATE ROAD 244, SHELBYVILLE, IN 46176-8817
(765) 525-7269
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000175A
IN
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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