Individual
BRIAN JOSEPH ADDLESBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
19087 KING PL, LOWELL, IN 46356-9599
(219) 775-1031
Mailing address
19087 KING PL, LOWELL, IN 46356-9599
(219) 775-1031
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20349
CA
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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