Individual
MS. JANE ANN BRUESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3987 BAY SHORE DRIVE, STURGEON BAY, WI 54235-2364
(920) 743-8043
(920) 743-4948
Mailing address
3987 BAY SHORE DRIVE, STURGEON BAY, WI 54235-2364
(920) 743-8043
(920) 743-4948
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
358026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40610900
—
WI
Enumeration date
07/12/2006
Last updated
07/08/2007
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