Individual
SELINA RENEE BRIGANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1561 NEWTON AVE, BOWLING GREEN, KY 42104-3238
(270) 842-1611
(270) 842-3858
Mailing address
1560 DOUGLAS RD, BROWDER, KY 42326-2559
(270) 543-6415
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A3828
KY
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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