# MRS. BRENDA J PARDY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770549446
- **Gender:** F
- **Credential:** BS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 31005499A | IN | Yes |
| 225X00000X | Occupational Therapist | OT0001528 | CO | — |

## Other

- **Enumeration date:** 04/21/2006
- **Last updated:** 01/12/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 21053537 | — | CO |
| 01 | — | IN2091 | MEDICARE PTAN IN2091 | IN |