Individual
JENNIFER BRUECKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 YORKSHIRE DR, QUEENSBURY, NY 12804-8620
(562) 858-5908
Mailing address
49 YORKSHIRE DR, QUEENSBURY, NY 12804-8620
(562) 858-5908
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
026254
NY
225XP0200X
Pediatric Occupational Therapist
14486
CA
Other
Enumeration date
08/18/2018
Last updated
11/29/2022
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