Organization
BRAIN ELEVATIONS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA GIFFORD OTD (OWNER)
(417) 274-4292
Entity
Organization
Contact information
Practice address
5419 S 192ND RD, PLEASANT HOPE, MO 65725-9185
(417) 695-4660
Mailing address
5419 S 192ND RD, PLEASANT HOPE, MO 65725-9185
(417) 695-4660
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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