Individual
BRIANNA WISHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1280 MARSHALL ST, CRESCENT CITY, CA 95531-2217
(615) 260-8187
Mailing address
1280 MARSHALL ST, CRESCENT CITY, CA 95531-2217
(615) 260-8187
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23019
CA
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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