Individual
STACEY L BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4921 E 21ST ST N, WICHITA, KS 67208-1602
(316) 681-3204
(316) 681-0541
Mailing address
4921 E 21ST ST N, WICHITA, KS 67208-1602
(316) 681-3204
(316) 681-0541
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800753
KS
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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