Individual
MRS. BREANNA LYNN KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
6562 LAKEVIEW BLVD APT 14202, WESTLAND, MI 48185-5877
(734) 709-0389
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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