Individual
MRS. BRENDA JO ZELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
22459 GREENWOOD RD, BELVUE, KS 66407-9406
(785) 456-3105
Mailing address
22459 GREENWOOD RD, BELVUE, KS 66407-9406
(785) 456-3105
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
18-00327
KS
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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