Individual
BRANDI L GANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10000 W 75TH ST, SUITE 250, MERRIAM, KS 66204-2209
(913) 894-1910
(913) 894-1174
Mailing address
702 LODWICK LN, EXCELSIOR SPRINGS, MO 64024-3629
(816) 332-1188
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2011020614
MO
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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