Individual
BRANDI SPIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4851 HARVARD RD, LAWRENCE, KS 66049-3964
(785) 344-1107
(785) 344-1199
Mailing address
2201 HARPER ST APT F1, LAWRENCE, KS 66046-5964
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00941
KS
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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