Individual
BRENNA ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3291
Mailing address
14 SANDY LN, SELKIRK, NY 12158-8700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008970-1
NY
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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