Individual
BRIANNA LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
PO BOX 494, BURLINGTON, WI 53105-0494
(262) 207-4032
Mailing address
PO BOX 494, BURLINGTON, WI 53105-0494
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
514827
WI
Other
Enumeration date
11/19/2014
Last updated
06/13/2025
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