Most Relevant Information
Provider Data
| NPI Number: | 1003210568 |
| Provider Name: | BRANDI SPIVA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 18-00941 |
Most Important Dates
| Enumeration Date: | 10/13/2014 |
| Last Updated: | 10/13/2014 |
Provider Practice Location
4851 HARVARD RD
LAWRENCE
KS
660493964
Practice Location Phone/Fax
| Phone: | 7853441107 |
| Fax: | 7853441199 |
Provider Mailing Location
2201 HARPER ST APT F1
LAWRENCE
KS
660465964
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |