Individual
SHELBY VANBRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
723 S SHOOP AVE, WAUSEON, OH 43567-1722
(419) 330-2710
Mailing address
10120 BROWN RD, CLAYTON, MI 49235-9718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3903
OH
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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