Individual
AMANDA BRICKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
441 E MARKET ST, CELINA, OH 45822-1736
(419) 235-5769
Mailing address
441 E MARKET ST, CELINA, OH 45822-1736
(419) 235-5769
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
007044
OH
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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