Individual
JESSICA N BRENZIKOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3223 N WEBB RD, SUITE 2, WICHITA, KS 67226-8175
(316) 609-3040
(316) 609-3090
Mailing address
4547 N GLENDALE ST, BEL AIRE, KS 67220-1506
(316) 990-7016
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1702284
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120081
BCBS ID NUMBER
KS
Enumeration date
07/04/2006
Last updated
11/22/2013
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