| Justin Brazeal, MS, OTR/L | |
|
1301 Russell Rd, Russellville, AR 72802-4320 | |
| (479) 967-2316 | |
| (479) 967-3639 |
| Full Name | Justin Brazeal |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 1301 Russell Rd, Russellville, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366792079 | NPI | - | NPPES |
| 194197721 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTR2546 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Brazeal, MS, OTR/L P.o. Drawer 2109, Russellville, AR 72811 Ph: (479) 967-2322 | Justin Brazeal, MS, OTR/L 1301 Russell Rd, Russellville, AR 72802-4320 Ph: (479) 967-2316 |
Kamala J Mcdonald, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 W Main St, Russellville, AR 72801 Phone: 479-968-2525 Fax: 479-968-2538 | |
Melissa Hawkins, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Road, Russellville, AR 72801 Phone: 479-967-2322 Fax: 479-967-2876 | |
Chastity Massengale, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Road, Russellville, AR 72801 Phone: 479-967-2322 | |
Mrs. Alicia M Bost, M.S.O.T.R.L. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2315 Honeysuckle Ln, Russellville, AR 72801 Phone: 479-858-6144 Fax: 479-858-6144 | |
Mrs. Sandra Lynn Baker, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Rd, Russellville, AR 72802 Phone: 479-967-2316 Fax: 479-967-3639 | |
Randi Ellen Rogers, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Road, Russellville, AR 72801 Phone: 479-967-2322 | |
Mrs. Brandi Akin, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 E Main St Ste 16, Russellville, AR 72801 Phone: 479-858-2216 |