Lashawna April Brandt COTA

NPI 1134399405 - Specialist - 174400000X

NPI Details
NPI 1134399405
Gender Female
Enumeration Date 03/03/2008
Last Updated 03/03/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
100 BAILEY AVE
WICHITA FALLS TX, 76301-6927, US
Phone (940) 766-0279
Fax
Business Location
121 DUNBAR DR
WICHITA FALLS TX, 76302-3708, US
Phone (940) 781-0265
Fax
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number 209365
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According to our database, Ms. Lashawna April Brandt COTA NPI is 1134399405, taxonomy code is 174400000X and license number is 209365, license state is located at Texas. Lashawna April Brandt COTA physically located at 100 Bailey Ave, Wichita Falls TX, 76301-6927. NPI Number Lashawna April Brandt COTA has the Individual type.

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1134399405 NPI number is provided on an as is basis without warranty of any kind. 1134399405 is maintained by the National Plan & Provider Enumeration System. The contents of Lashawna April Brandt COTA are for informational purposes only.