Launce Braddock
Occupational Therapy Assistant
415 Airport Rd
Griffin
, Georgia 30224-4834
Launce Braddock
Occupational Therapy Assistant
415 Airport Rd
Griffin
, Georgia 30224-4834
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Launce Braddock
- 415 Airport Rd
- Griffin, GA
- Zip : 30224-4834
- Phone :
Second Address
- Launce Braddock
- 415 Airport Rd
- Griffin, GA
- Zip : 30224-4834
- Phone : (770) 227-8636
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA000794 | GA |
National Provider Identifier
| NPI | 1003231317 |
|---|---|
| Provider Name | Launce Braddock |
| First Address | Griffin, GA 30224-4834 |
| Second Address | Griffin, GA 30224-4834 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/02/2014 |
| Last Update Date | 24/02/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.