Hannah Elizabeth Brisco

Individual provider Active NPI Occupational Therapy Assistant · Wichita, KS

NPI 1366292344 · NPPES record last updated Mar 25, 2024

Key facts

NPI
1366292344
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
18-01942 (KS)
Practice address
3500 N Rock Rd Ste 101
Wichita, KS 67226-1341
Phone
(316) 440-3316
Fax
(888) 965-6885
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18-01942KSMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 18-01942 KS Yes

Addresses

Primary practice location

3500 N Rock Rd Ste 101
Wichita, KS 67226-1341

Mailing address

3500 N Rock Rd Ste 101
Wichita, KS 67226-1341

Other providers in Wichita, KS

All providers in Wichita, KS · Occupational Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.