Tiffani Khyel Brandon COTA/L

NPI 1245670660 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1245670660
Gender Female
Enumeration Date 06/29/2013
Last Updated 06/29/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1101 LYNDON LN
LOUISVILLE KY, 40222-4317, US
Phone (502) 425-0331
Fax
Business Location
1715 W CREEK WAY
#4
LOUISVILLE KY, 40242-3936, US
Phone (502) 533-5815
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Kentucky
License Number A4952
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According to our database, Ms. Tiffani Khyel Brandon COTA/L NPI is 1245670660, taxonomy code is 224Z00000X and license number is A4952, license state is located at Kentucky. Tiffani Khyel Brandon COTA/L physically located at 1101 Lyndon Ln, Louisville KY, 40222-4317. NPI Number Tiffani Khyel Brandon COTA/L has the Individual type.

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1245670660 NPI number is provided on an as is basis without warranty of any kind. 1245670660 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffani Khyel Brandon COTA/L are for informational purposes only.