Brandon Mazzola, OTRL

NPI #1487151627 in Marshall, Michigan

Provider Information

NPI Number: 1487151627
Entity Type: Individual
Name: Brandon Mazzola, OTRL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTRL
Enumeration Date: Apr 12, 2018
Last Updated: Apr 12, 2018

Practice Location

Address: 823 W MICHIGAN AVE
City: Marshall
State: Michigan
ZIP Code: 49068-1445
Phone: (269) 248-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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