Most Relevant Information
Provider Data
| NPI Number: | 1003408261 |
| Provider Name: | BRACHA MIFSUD OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/09/2021 |
| Last Updated: | 06/22/2021 |
Provider Practice Location
6202 GIST AVE
BALTIMORE
MD
212153608
Practice Location Phone/Fax
| Phone: | 4102928725 |
| Fax: |
Provider Mailing Location
6417 ELRAY DR APT D
BALTIMORE
MD
212092928
Provider Mailing Phone/Fax
| Phone: | 4438004106 |
| Fax: |