Individual
BRITTANY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 GARLAND ST E, WEST SALEM, WI 54669-1308
(608) 786-1400
Mailing address
25653 ROACH LN, EASTMAN, WI 54626-8762
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
201761
MN
224Z00000X
Occupational Therapy Assistant
Primary
4962-27
WI
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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