Individual
BRANDYN MARIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6400 GLENWOOD ST, 205, OVERLAND PARK, KS 66202-4028
(913) 432-2900
(913) 432-2901
Mailing address
21004 W 99TH ST, LENEXA, KS 66220-2662
(913) 839-0317
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
17-02346
KS
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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