Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROSS JOSEPH BRAKEVILLE, D.P.T.
ActiveMR. ROSS JOSEPH BRAKEVILLE, D.P.T. is a Environmental Modification (OT) healthcare provider located in KENNESAW, Georgia. NPI 1013997139 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · KENNESAW, GA
Registration Details
- NPI Number
- 1013997139
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2006 (20.584638588596 yrs)
- Last Updated
- Jun 13, 2024
- Licenses
-
002536 (GA)002536 (GA)
Practice Information
- Address
-
2300 KINSALE POINTKENNESAW, GA, 301526756Browse GA providers · Browse ZIP 30152
- Phone
- 6784693007
- Fax
- 4043509405
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
- Additional Specialty
- Environmental Modification (OT)
Other Environmental Modification (OT) Providers in KENNESAW, GA
| Name | Credential | NPI |
|---|---|---|
| DR. TAYLOR CROW MIDDLETON | PT, DPT | 1518595149 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.