Individual
DANET LYN BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
21005 S SCHOOL RD, PECULIAR, MO 64078-9346
(816) 892-1300
Mailing address
17405 E HUBACH HILL RD, PLEASANT HILL, MO 64080-8639
(816) 885-3545
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2000143727
MO
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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