Individual
SHAWN R BRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4586 S 116TH RD, BOLIVAR, MO 65613-8547
(417) 326-2466
(417) 326-7739
Mailing address
4586 S 116TH RD, BOLIVAR, MO 65613-8547
(417) 326-2466
(417) 326-7739
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004689
MO
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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