Individual
GWENDELYN D BREEMEERSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(800) 278-0332
Mailing address
210 SAINT LOUIS RIVER RD, PROCTOR, MN 55810-2535
(218) 428-0581
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60215518
WA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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