Organization
BRAINARD AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN BRAINARD OTR (OCCUPATIONAL THERAPIST)
(303) 522-6497
Entity
Organization
Contact information
Practice address
1745 SHEA CENTER DR STE 400, HIGHLANDS RANCH, CO 80129-1540
(720) 344-5135
Mailing address
1745 SHEA CENTER DR STE 400, HIGHLANDS RANCH, CO 80129-1540
(720) 344-5135
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1044047
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64826333
—
CO
Enumeration date
04/24/2007
Last updated
08/22/2020
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