BRANDI TANNER

LARAMIE, WY
NPI1295188696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NM  3340)
Enumeration Date2016-07-20
Last Update Date2018-05-17
Business Address
BRANDI TANNER COTA
503 S 18TH ST
LARAMIE, WY 82070
Phone number: 575-430-6020
Mailing Address
BRANDI TANNER COTA
1075 N MCCUE ST # B201
LARAMIE, WY 82072-6771
Phone number: 575-430-6020
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