Individual
MATTHEW G BRUINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
3601 S. CHICAGO AVENUE, SOUTH MILWAUKEE, WI 53172
(414) 764-4100
(414) 764-9631
Mailing address
1407 MANISTIQUE AVENUE, SOUTH MILWAUKEE, WI 53172
(414) 764-3263
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3372-026
WI
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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