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Individual

MELISSA BRACKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(913) 961-8451
Mailing address
1430 WATSON ST, FREMONT, NE 68025-2084

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
771
NE

Other

Enumeration date
02/11/2015
Last updated
02/11/2015
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