Individual
JANEAN CAROL BREWINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1436 S LINCOLN ST, SHAWANO, WI 54166-3427
(715) 526-1666
Mailing address
310 S CECIL ST, BONDUEL, WI 54107-9260
(920) 290-0152
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4473-026
WI
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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