Provider Demographics
NPI:1043489487
Name:BRANKIN, JOANNE (OTR)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:BRANKIN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6724 HILLPARK DR
Mailing Address - Street 2:#302
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-2169
Mailing Address - Country:US
Mailing Address - Phone:310-980-6675
Mailing Address - Fax:323-850-6994
Practice Address - Street 1:6724 HILLPARK DR
Practice Address - Street 2:#302
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-2169
Practice Address - Country:US
Practice Address - Phone:310-980-6675
Practice Address - Fax:323-850-6994
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist