Provider Demographics
NPI:1679210397
Name:HOVIS, BRANDI LYNNE
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:LYNNE
Last Name:HOVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:BRANDI
Other - Middle Name:LYNNE
Other - Last Name:CAUDILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:711 W JEFFERSON ST APT 13
Mailing Address - Street 2:
Mailing Address - City:EVART
Mailing Address - State:MI
Mailing Address - Zip Code:49631-9472
Mailing Address - Country:US
Mailing Address - Phone:231-253-8785
Mailing Address - Fax:
Practice Address - Street 1:711 W JEFFERSON ST APT 11
Practice Address - Street 2:
Practice Address - City:EVART
Practice Address - State:MI
Practice Address - Zip Code:49631-9471
Practice Address - Country:US
Practice Address - Phone:231-468-5446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-14
Last Update Date:2022-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHuman Factors