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Individual

BROOKLYN WIKSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1516 1ST AVE, MIDDLETOWN, OH 45044-4124
(513) 422-0713
Mailing address
400 N ERIE HWY STE A, HAMILTON, OH 45011-4264
(513) 887-3710

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
224Z00000X
Occupational Therapy Assistant
Primary
OTA008452
OH

Other

Enumeration date
05/19/2021
Last updated
05/01/2026
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