NPI 1356065403
Brandi Tebo
Practice location
- Address
- 12265 James St, Holland, MI 49424-8613
- Phone
- (616) 393-5698
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1356065403
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Oct 2022
- Record last updated
- 3 Oct 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.