Individual
KIRSTEN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3090 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5310
(719) 574-8300
Mailing address
3090 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5310
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39952231
—
CO
Enumeration date
03/06/2007
Last updated
07/10/2007
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