Individual
MRS. DAWN MARIE BRANDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6505 N MOKANE CT, KANSAS CITY, MO 64151-1376
(816) 505-4675
Mailing address
6505 N MOKANE CT, KANSAS CITY, MO 64151-1376
(816) 505-4675
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2005010834
MO
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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