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Individual

MRS. AMANDA SUE BREDEMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
700 OREGON ST, HIAWATHA, KS 66434-2232
(785) 742-7606
(785) 742-4490
Mailing address
700 OREGON ST, HIAWATHA, KS 66434-2232
(785) 742-7606
(785) 742-4490

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1120
NE
225X00000X
Occupational Therapist
Primary
17-01981
KS
225X00000X
Occupational Therapist
2007017527
MO

Other

Enumeration date
12/20/2006
Last updated
07/31/2013
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