Individual
MRS. BRANDI GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
7010 E 136TH ST, GRANDVIEW, MO 64030-3829
(816) 316-5558
Mailing address
12515 E 43RD ST S, INDEPENDENCE, MO 64055-5903
(816) 214-1415
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2012029165
MO
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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