Individual
BRIENNE WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
27240 HAGGERTY RD, SUITE E 15, FARMINGTON HILLS, MI 48331-5716
(248) 488-0350
Mailing address
186 W RHUDES CREEK RD, GLENDALE, KY 42740-8327
(270) 307-8153
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
289570
KY
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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