Individual
BRANDY TENNILLE STRUBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
1220 LAGUNA ST, KOKOMO, IN 46902-2330
(765) 454-5340
Mailing address
1220 LAGUNA ST, KOKOMO, IN 46902-2330
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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