Individual
JENNIFER BRILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7610 E 32ND ST N, APT 104, WICHITA, KS 67226-1279
(337) 540-9779
Mailing address
7610 E 32ND ST N, APT 104, WICHITA, KS 67226-1279
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800854
KS
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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