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Individual

MORIAH BRENNEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
11120 VERMILLION RD, LONGMONT, CO 80504-9720
(720) 980-5896
Mailing address
11120 VERMILLION RD, LONGMONT, CO 80504-9720

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0008312
CO

Other

Enumeration date
12/14/2023
Last updated
01/11/2024
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