Individual
MRS. ANNA BRUCKBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9122 W DIXON ST APT 101, MILWAUKEE, WI 53214-1360
(608) 206-5293
Mailing address
9122 W DIXON ST APT 101, MILWAUKEE, WI 53214-1360
(608) 206-5293
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
746483
WI
225X00000X
Occupational Therapist
—
WI
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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