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NPI Code Detail

MEDICARE: ANNE BRANDJORD OTR/L

MEDICARE: ANNE BRANDJORD OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist60823129WA

General Provider Information

NPI Number : 1588151534
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE BRANDJORD OTR/L
Provider Business Mailing Address
First Line : 22415 68TH AVE S
Second Line :
City : KENT
State : WA
Zip : 98032-2444
Country : US
Telephone Number : 253-395-1131
Fax Number :
Provider Business Practice Location Address
First Line : 22415 68TH AVE S
Second Line :
City : KENT
State : WA
Zip : 98032-2444
Country : US
Telephone Number : 253-395-1131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2018
Last Update Date : 04/16/2018

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Directions to “ ANNE BRANDJORD OTR/L” Practice Location

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