Individual
HEIDI L BRUENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
1486 W MEQUON RD, MEQUON, WI 53092-3268
(262) 241-8030
Mailing address
3236 TWIN CREEKS RD, JACKSON, WI 53037-8912
(262) 420-8282
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3908-26
WI
Other
Enumeration date
09/26/2006
Last updated
10/06/2021
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