Individual
BRENDA KAY BIRDSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
405 MONROE ST, SUITE 102, PELLA, IA 50219-1189
(641) 628-6623
(641) 621-2223
Mailing address
405 MONROE ST, SUITE 102, PELLA, IA 50219-1189
(641) 628-6623
(641) 621-2223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00714
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00714
IOWA LICENSE
IA
Enumeration date
12/05/2011
Last updated
02/18/2016
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