Individual
MS. BRIENNA LEA COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10302 METALMARK LN UNIT 1, ROSCOE, IL 61073-6535
(262) 215-4937
Mailing address
10302 METALMARK LN UNIT 1, ROSCOE, IL 61073-6535
(262) 215-4937
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003522
IL
224Z00000X
Occupational Therapy Assistant
4878-27
WI
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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