Individual provider · Type 1 NPI

Brian Josue Gonzalez Granados

Occupational Therapist · Raleigh, NC

NPI number 1104752963 Active

Practice location

5109 Influence Way
Raleigh, NC 27616-4345

Call (919) 239-4805 Map

Mailing address

3904 Booker Ave
Durham, NC 27713-1128

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X18541 (NC)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1104752963

Brian Josue Gonzalez Granados's National Provider Identifier is 1104752963, issued on Jun 19, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Raleigh, NC. The record was last updated on Jun 19, 2026.