Individual
BRIANNE HAMSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S HEATON ST, MORRISON, IL 61270-2012
(815) 590-6165
Mailing address
400 S HEATON ST, MORRISON, IL 61270-2012
(815) 590-6165
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010289
IL
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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