Individual
BRANDY LYNN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
621 W 21ST ST, ANDOVER, KS 67002-8498
(316) 733-1349
Mailing address
5334 S VICTORIA CT, WICHITA, KS 67216-2073
(316) 946-5805
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00605
KS
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us