Individual
PATSY L BRILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 BEASER AVE, ASHLAND, WI 54806-3614
(715) 682-3468
Mailing address
1319 BEASER AVE, ASHLAND, WI 54806-3614
(715) 682-3468
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1909-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40447200
—
WI
Enumeration date
04/24/2008
Last updated
04/24/2008
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