NPI 1003231317

Launce Braddock

Practitioner Occupational Therapy Assistant Griffin, GA

Practice location

Address: 415 Airport Rd, Griffin, GA 30224-4834
Phone: (770) 227-8636

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA000794 (GA)

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Registry record

NPI: 1003231317
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Feb 2014
Record last updated: 24 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.