Brandon Bracy, COTA/L
Occupational Therapy Assistant in Avondale, AZ. Individual provider (NPI-1).
NPI number1801427596
StatusActive
Last updated in NPPESJan 31, 2020
Details
- NPI
- 1801427596
- Entity type
- Individual (NPI-1)
- Name
- Brandon Bracy
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2020
- Certification date
- Jan 31, 2020
- Last updated
- Jan 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 5089 | AZ | Yes |
Practice location
350 E La Canada BlvdAvondale, AZ 85323-1643
Phone 623-932-2282
Mailing address
19443 W Morning Glory DrBuckeye, AZ 85326-5810
Phone 330-573-9566
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All 16 Occupational Therapy Assistant providers in Avondale · All 2,059 providers in Avondale
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