Healthcare Provider Details

I. General information

NPI: 1437092269
Provider Name (Legal Business Name): BRANDON HEATH OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 SNOW ST STE A
OXFORD AL
36203-5402
US

IV. Provider business mailing address

PO BOX 814
WEAVER AL
36277-0814
US

V. Phone/Fax

Practice location:
  • Phone: 256-770-5009
  • Fax: 844-592-2568
Mailing address:
  • Phone: 256-770-5009
  • Fax: 844-592-2568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number6819
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: