Individual
ANNETTE KAY BRUNSWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1096 N OHIO ST, GREENVILLE, OH 45331-2919
(937) 548-1138
Mailing address
203 E WALNUT ST, COLDWATER, OH 45828-1761
(419) 678-8527
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
06166
OH
225200000X
Physical Therapy Assistant
Primary
06166
OH
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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