Individual
BRENDA GAIL BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1408 100TH AVE, AMERY, WI 54001-4843
(715) 641-1409
Mailing address
1408 100TH AVE, AMERY, WI 54001-4843
(715) 641-1409
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5004-27
WI
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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