Individual
ELIZABETH BRUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2912 S BUSINESS DR, SHEBOYGAN, WI 53081-6520
(920) 803-2179
Mailing address
1729 N 13TH ST, SHEBOYGAN, WI 53081-2523
(920) 627-8503
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7199-26
WI
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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