MR. Brett Davin Andrada, COTA

NPI #1427252402 in Park City, Utah

Provider Information

NPI Number: 1427252402
Entity Type: Individual
Name: MR. Brett Davin Andrada, COTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: COTA
Enumeration Date: Jun 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1640 REDSTONE CENTER DR STE 200
City: Park City
State: Utah
ZIP Code: 84098-7607
Phone: (435) 645-0788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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