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Individual

MRS. STACY RENEE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
234 E 3RD AVE, GARNETT, KS 66032-1216
(785) 204-2555
(913) 755-3854
Mailing address
234 E 3RD AVE, GARNETT, KS 66032-1216
(785) 204-2555
(913) 755-9854

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00835
KS

Other

Enumeration date
04/30/2015
Last updated
04/30/2015
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