Individual
ADAM BRISSETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1011 MERIDIAN ST, SAULT SAINTE MARIE, MI 49783-2650
(906) 635-1518
(906) 635-1436
Mailing address
930 STRAWBERRY LN, GAYLORD, MI 49735-9315
(989) 305-0840
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008269
MI
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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