Individual
DENICE ANN BRAAKSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 456-7100
Mailing address
W 4846 CTY. RD. X, MARKESAN, WI 53946
(920) 394-9377
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2749-026
WI
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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