Individual
RAISA VELEZ BRUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 S ESPLANADE ST APT F001, LEAVENWORTH, KS 66048-1518
(830) 822-4032
Mailing address
420 S ESPLANADE ST APT F001, LEAVENWORTH, KS 66048-1518
(830) 358-2233
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
01/06/2020
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