Individual
LONNI MARIE BRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 395-5454
Mailing address
3500 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 395-5454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
102403
MN
225X00000X
Occupational Therapist
Primary
4358-026
WI
Other
Enumeration date
12/22/2006
Last updated
01/05/2010
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