Provider Demographics
NPI:1649551813
Name:EGGER, BRENDA SUE (MOTR/L)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:SUE
Last Name:EGGER
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3255 340TH ST
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:IA
Mailing Address - Zip Code:50250-8540
Mailing Address - Country:US
Mailing Address - Phone:515-208-7267
Mailing Address - Fax:
Practice Address - Street 1:3255 340TH ST
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:IA
Practice Address - Zip Code:50250-8540
Practice Address - Country:US
Practice Address - Phone:515-208-7267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002165225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist