Individual
BRETT LUCAS BRUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 MASSASOIT AVE STE 113, EAST PROVIDENCE, RI 02914-2040
(401) 490-7610
Mailing address
400 MASSASOIT AVE STE 113, EAST PROVIDENCE, RI 02914-2040
(401) 490-7610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01077
RI
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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