Individual
MS. MADISON BAILY BRUMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7805 BIRCH ST, WESTON, WI 54476-5219
(715) 298-3833
Mailing address
7805 BIRCH ST, WESTON, WI 54476-5219
(715) 298-3833
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6344-26
WI
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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