Brandon Crissman, OTA

NPI 1093156424 · on the registry since 2013

Practice

Address: 234 Willard St
Cocoa, FL 32922
Phone: (321) 795-6007
Fax: (877) 787-5595
Organisation at this address: Rampart Group Inc
Miracle Pain Relief Llc
Immaculate Adult Day Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida