Individual
ALICIA ANN BRUEGGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 DELMAR BLVD, SAINT LOUIS, MO 63124-1973
(636) 545-5665
Mailing address
270 VILLAGE CREEK DR, BALLWIN, MO 63021-6125
(636) 584-5665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2022043571
MO
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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