Individual provider · Type 1 NPI

Justin Brazeal, MS, OTR/L

Occupational Therapist · Russellville, AR

NPI number 1366792079 Active

Practice location

1301 Russell Rd
Russellville, AR 72802-4320

Fax (479) 967-3639

Mailing address

P.o. Drawer 2109
Russellville, AR 72811

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOTR2546 (AR)

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 1366792079

Justin Brazeal, MS, OTR/L's National Provider Identifier is 1366792079, issued on Sep 11, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Russellville, AR. The record was last updated on Jan 31, 2023.