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Organization

SKILLED CURATIVE SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER DEBRUIN M.S. OTR/L (REGISTERED OCCUPATIONAL THERAPIST)
(262) 498-6449
Entity
Organization

Contact information

Practice address
1255 N SUNNYSLOPE DR, UNIT 203, MOUNT PLEASANT, WI 53406-3485
(262) 498-6449
Mailing address
1255 N SUNNYSLOPE DR, UNIT 203, MOUNT PLEASANT, WI 53406-3485
(262) 498-6449

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
056010205
IL
251E00000X
Home Health Agency
5369
WI
251E00000X
Home Health Agency
5799
AZ

Other

Enumeration date
06/30/2015
Last updated
06/30/2015
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