Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Occupational Medicine |
261QX0100X | |||
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency |
| NPI # | 1164957890 |
| LBN Legal business name | BRAIN BRIGHT THERAPY LLC |
| Authorized official | DANIELLE NELSON - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/01/2017 |
| Last updated | 02/20/2026 - About 4 months ago |
| Identifiers | n/a |
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