Individual
JESSICA LORRAINE BRUNJES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1905 W HART RD, BELOIT, WI 53511-2230
(608) 365-7500
Mailing address
1905 W HART RD, BELOIT, WI 53511-2230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4740-026
WI
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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