Individual
KATHERINE BRANDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1509 HARRISON AVE, CENTRALIA, WA 98531-4568
(360) 736-0112
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
60912601
WA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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