Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIMMY DALE BRANNON, COTA,L
ActiveMR. JIMMY DALE BRANNON, COTA,L is a Occupational Therapy Assistant healthcare provider located in FORDSVILLE, Kentucky. NPI 1174720445 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · FORDSVILLE, KY
Registration Details
- NPI Number
- 1174720445
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2007 (19.084869136194 yrs)
- Last Updated
- Jul 8, 2007
- License
-
A3397 (KY)
Practice Information
- Address
-
313 MAINFORDSVILLE, KY, 42343Browse KY providers · Browse ZIP 42343
- Phone
- 2702765435
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.