Individual
MAIZIE ANN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3100 OLYMPUS BLVD, COPPELL, TX 75019-5472
(844) 975-6706
Mailing address
7504 HIGH GROVE RD, GRANDVIEW, MO 64030-3434
(620) 481-3170
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01584
KS
224Z00000X
Occupational Therapy Assistant
OTA-1418
WY
Other
Enumeration date
05/13/2019
Last updated
06/11/2019
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