Individual
BRIANNA MARIE NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
243 WILSON RD, SAINT MARYS, PA 15857-3329
(814) 594-1943
Mailing address
243 WILSON RD, SAINT MARYS, PA 15857-3329
(814) 594-1943
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008658
PA
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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