Individual
ELIZABETH MARIE BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
15023 21 MILE RD, SHELBY TWP, MI 48315-5024
(586) 286-9644
Mailing address
15023 21 MILE RD, SHELBY TWP, MI 48315-5024
(586) 286-9644
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
4909
AZ
224Z00000X
Occupational Therapy Assistant
Primary
5202008288
MI
Other
Enumeration date
10/18/2018
Last updated
12/15/2022
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