Individual
CAROLYN BRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 850-8498
Mailing address
1818 N MEADE ST, APPLETON, WI 54911-3454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6754
WI
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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