Individual
VIRGINIA A BRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7517 W COLDSPRING RD, GREENFIELD, WI 53220-2814
(920) 857-8311
Mailing address
7517 W COLDSPRING RD, GREENFIELD, WI 53220-2814
(920) 857-8311
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1858-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40861400
—
WI
Enumeration date
05/31/2006
Last updated
12/15/2011
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