Braddy, Sara C

Braddy, Sara C is an individual health care provider with primary practice located at 311 N Main St , Picayune MS 39466-3313. 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. Braddy, Sara C can be contacted via phone (601) 799-4065.

Contact Information

Primary practice address
311 N Main St Picayune MS 39466-3313
Phone: (601) 799-4065
Fax: (601) 620-4117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT2316 Mississippi

Profile Details

NPI number 1710312442
LBN Legal business name Braddy, Sara C
Credentials MOTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2013
Last updated Jan 10th, 2015 - 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 1710312442 NPPES
Mississippi MEDICAID 09938061

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