Individual
CAMILLA BRIGHT BRUSENHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6818 AUSTIN CENTER BLVD STE 111, AUSTIN, TX 78731-3199
(512) 418-8870
Mailing address
2000 MEDICAL DR, LAKEWAY, TX 78734-4200
(737) 237-0016
(737) 701-5872
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
121343
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121343
OCCUPATIONAL THERAPY
TX
01
—
1851889463
OCCUPATIONAL THERAPY
TX
Enumeration date
08/16/2021
Last updated
08/16/2021
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