Individual
NANCY JEAN BRAINERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E FLAMING RD, OLATHE, KS 66061-5343
(913) 780-4844
Mailing address
6007 W 125TH ST, OVERLAND PARK, KS 66209-2755
(913) 963-7405
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00676
KS
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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