Individual
TRACY LYNN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5778 CHAPIN ST, FLORENCE, WI 54121-9443
(715) 528-4833
(715) 528-4988
Mailing address
5778 CHAPIN ST, FLORENCE, WI 54121-9443
(715) 528-4833
(715) 528-4988
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
922-27
WI
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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