Individual
MR. BRANTLEY VINCENT NIENDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
2301 S M 291 HWY, INDEPENDENCE, MO 64057
(816) 373-9328
(816) 373-9207
Mailing address
2301 S M 291 HWY, INDEPENDENCE, MO 64057
(816) 373-9328
(816) 373-9207
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2015033521
MO
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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