Individual
BRENNA MARIE EARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15620 SWAN CREEK RD, HEMLOCK, MI 48626-8721
(989) 245-9602
Mailing address
15620 SWAN CREEK RD, HEMLOCK, MI 48626-8721
(989) 245-9602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007939
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201007939
OCCUPATIONAL THERAPY LICENSE
MI
Enumeration date
10/09/2017
Last updated
03/09/2023
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