Individual
JOE BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8988 BERMUDA RUN CIR, HIGHLANDS RANCH, CO 80130-3307
(720) 401-1379
Mailing address
8988 BERMUDA RUN CIR, HIGHLANDS RANCH, CO 80130-3307
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
293877
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293877
MEDICARE
—
Enumeration date
07/19/2012
Last updated
07/19/2012
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