Campbell, Brandy Marre

Campbell, Brandy Marre is an individual health care provider with primary practice located at 20910 State Route 410 E , Bonney Lake WA 98391-6302. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Campbell, Brandy Marre can be contacted via phone (253) 862-2575.

Contact Information

Primary practice address
20910 State Route 410 E Bonney Lake WA 98391-6302
Phone: (253) 862-2575
Fax: (253) 862-2675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT00002249 Washington

Profile Details

NPI number 1821005760
LBN Legal business name Campbell, Brandy Marre
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated May 21st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821005760 NPPES
Washington MEDICAID 8368854
Washington Other 246111

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