Individual
BRENDA WIERZBICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
813 TEK DR, CRYSTAL LAKE, IL 60014-8172
(847) 742-5757
Mailing address
2402 ANNA AVE, TWIN LAKES, WI 53181-9757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.006003
IL
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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