Individual
MRS. ANNETTE BRAUCKHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
677 E STATE ST, BURLINGTON, WI 53105-1639
(262) 763-9531
Mailing address
1429 CREEK SIDE DR, BURLINGTON, WI 53105-8217
(262) 767-1425
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3117
WI
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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