Individual
LYDIA BRYNN BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1348 DRY BROOK CT, DERBY, KS 67037-2832
(316) 788-1212
Mailing address
1348 DRY BROOK CT, DERBY, KS 67037-2832
(316) 788-1212
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
PENDING
KS
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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