Brandi Tanner, COTA

NPI #1295188696 in Laramie, Wyoming

Provider Information

NPI Number
1295188696
Entity Type
Individual
Name
Brandi Tanner, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Jul 20, 2016
Last Updated
May 17, 2018

Practice Location

Address
503 S 18TH ST
State
Wyoming
ZIP Code
82070
Phone
(575) 430-6020

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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