Brandy Nicole Mainord

NPI #1629595103 in Stateline, Nevada

Provider Information

NPI Number: 1629595103
Entity Type: Individual
Name: Brandy Nicole Mainord
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 25, 2017
Last Updated: Aug 25, 2017

Practice Location

Address: 315 OLYPMIC CT UNIT B
City: Stateline
State: Nevada
ZIP Code: 89449-8944
Phone: (916) 759-7986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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