Individual
REBECCA BRUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
403 MAIN ST, RANDALL, KS 66963-4035
(785) 534-0457
Mailing address
403 MAIN ST, RANDALL, KS 66963-4035
(785) 534-0457
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00423
KS
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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