Provider Demographics
NPI:1427255306
Name:FRENCH, BRANDI LYNN (MOTRL)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:LYNN
Last Name:FRENCH
Suffix:
Gender:F
Credentials:MOTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 7TH ST N
Mailing Address - Street 2:
Mailing Address - City:WAHPETON
Mailing Address - State:ND
Mailing Address - Zip Code:58075-3624
Mailing Address - Country:US
Mailing Address - Phone:701-642-6667
Mailing Address - Fax:701-642-2485
Practice Address - Street 1:1307 7TH ST N
Practice Address - Street 2:
Practice Address - City:WAHPETON
Practice Address - State:ND
Practice Address - Zip Code:58075-3624
Practice Address - Country:US
Practice Address - Phone:701-642-6667
Practice Address - Fax:701-642-2485
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
ND1024314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist