Brenda Kay Conley
Occupational Therapist - Pediatrics
4101 S Medford Dr
Lufkin
, Texas 75901-5633
Brenda Kay Conley
Occupational Therapist - Pediatrics
4101 S Medford Dr
Lufkin
, Texas 75901-5633
(936) 633-5695
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Brenda Kay Conley
- 4101 S Medford Dr
- Lufkin, TX
- Zip : 75901-5633
- Fax : (936) 633-5695
- Phone : (936) 639-1141
Second Address
- Brenda Kay Conley
- 4101 S Medford Dr
- Lufkin, TX
- Zip : 75901-5633
- Fax : (936) 633-5695
- Phone : (936) 639-1141
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 103720 | TX |
National Provider Identifier
| NPI | 1033280219 |
|---|---|
| Provider Name | Brenda Kay Conley |
| First Address | Lufkin, TX 75901-5633 |
| Second Address | Lufkin, TX 75901-5633 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/11/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8T6312 | BLUE CROSS BLUE SHIELD (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.