Larry B Brazell
NPI #1790718294 in Mauldin, South Carolina
Provider Information
- NPI Number
- 1790718294
- Entity Type
- Individual
- Name
- Larry B Brazell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Jul 8, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 213 E BUTLER RD BLDG E2
- City
- Mauldin
- State
- South Carolina
- ZIP Code
- 29662-2172
- Phone
- (864) 984-0832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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