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Individual

SUELLEN BRUECKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR,BCIAC-PMDB

Contact information

Practice address
201 N MAYFAIR RD, WAUWATOSA, WI 53226-4216
(414) 259-7258
(414) 259-7515
Mailing address
201 N MAYFAIR RD, WAUWATOSA, WI 53226-4216
(414) 259-7258
(414) 259-7515

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
145-026
WI
225XN1300X
Neurorehabilitation Occupational Therapist
145-026
WI

Other

Enumeration date
05/21/2008
Last updated
06/03/2008
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