Provider Demographics
NPI:1144721465
Name:KINDRED, BRANDI ALANE (COTA)
Entity type:Individual
Prefix:MS
First Name:BRANDI
Middle Name:ALANE
Last Name:KINDRED
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8166 COUNTY ROAD 3725
Mailing Address - Street 2:
Mailing Address - City:COLMESNEIL
Mailing Address - State:TX
Mailing Address - Zip Code:75938-4802
Mailing Address - Country:US
Mailing Address - Phone:936-707-0968
Mailing Address - Fax:
Practice Address - Street 1:8166 COUNTY ROAD 3725
Practice Address - Street 2:
Practice Address - City:COLMESNEIL
Practice Address - State:TX
Practice Address - Zip Code:75938-4802
Practice Address - Country:US
Practice Address - Phone:936-707-0968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210257224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant