Brantley, Sara

Brantley, Sara is an individual health care provider with primary practice located at 3840 Hulen St Htn, Client Accounting, Fort Worth TX 76107-7277. 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. Brantley, Sara can be contacted via phone (817) 569-4300.

Contact Information

Primary practice address
3840 Hulen St Htn, Client Accounting Fort Worth TX 76107-7277
Phone: (817) 569-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 112229 Texas

Profile Details

NPI number 1487056800
LBN Legal business name Brantley, Sara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2014
Last updated Mar 12th, 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 1487056800 NPPES
Texas MEDICAID 338704501
Texas Other 8TAB73

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