Larry B Brazell
Individual provider Active NPI Occupational Therapy Assistant · Mauldin, SC
NPI 1790718294 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790718294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2281 (SC)
- Practice address
- 213 E Butler Rd BLDG E2
Mauldin, SC 29662-2172 - Phone
- (864) 984-0832
- Fax
- (678) 840-2112
- NPI assigned
- Jul 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortina Consultants, Inc. | Occupational Therapy Assistant | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2281 | SC | Yes |
Addresses
Primary practice location
213 E Butler Rd BLDG E2
Mauldin, SC 29662-2172
Mailing address
PO Box 369
Simpsonville, SC 29681-0369
Phone (864) 201-4301
Other providers in Mauldin, SC
- Sara Borkosky
- Gwendolyn Barton Bozeman
- Heather L. Brannon
- Margaret Brannon
- Kelsey Grant Brantley
- Bridges Medical
- Brighter Future Youth Services
- McKalynne Marsh Broughton
- Denise Brown
- Kenneth Brown II
All providers in Mauldin, SC · Occupational Therapy Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.