Individual
MELINDA J BRUER
Active
Individual
MELINDA J BRUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
197786
TN
225X00000X
Occupational Therapist
Primary
000339
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446652
—
TN
01
—
3156797
BCBST - GROUP NUMBER
TN
05
—
5441442
—
TN
Enumeration date
05/25/2006
Last updated
01/13/2022
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