Individual
BREANNE NICOLE TELG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
6700 ANTIOCH, SUITE NUMBER 430, MERRIAM, KS 66204
(913) 652-9229
Mailing address
6236 SHOTWELL TER, MOSELEY, VA 23120-0017
(618) 322-2733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-02393
KS
225X00000X
Occupational Therapist
2005001745
MO
Other
Enumeration date
04/13/2007
Last updated
03/20/2017
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