Individual
BRYCE KUENZLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
207 MAIN ST, LAKE ANDES, SD 57356-2031
(605) 487-7755
Mailing address
N4753 PRICE POLAR RD, BRYANT, WI 54418-9663
(715) 219-2306
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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