Individual provider · Type 1 NPI

Larry B. Brazell

Occupational Therapy Assistant · Mauldin, SC

NPI number 1790718294 Active

Practice location

213 E Butler Rd Bldg E2
Mauldin, SC 29662-2172

Fax (678) 840-2112

Mailing address

PO Box 369
Simpsonville, SC 29681-0369

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2281 (SC)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1790718294

Larry B. Brazell's National Provider Identifier is 1790718294, issued on Jul 8, 2006. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Mauldin, SC. The record was last updated on Jul 8, 2007.