Suellen Brueckner OTR,BCIAC-PMDB

NPI 1427215888 - Occupational Therapist - 225XN1300X

NPI Details
NPI 1427215888
Gender Female
Enumeration Date 05/21/2008
Last Updated 06/03/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
201 N MAYFAIR RD
WAUWATOSA WI, 53226-4216, US
Phone (414) 259-7258
Fax (414) 259-7515
Business Location
201 N MAYFAIR RD
WAUWATOSA WI, 53226-4216, US
Phone (414) 259-7258
Fax (414) 259-7515
Toxanomy
Taxonomy Code 225XN1300X
License State Wisconsin
License Number 145-026
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According to our database, Suellen Brueckner OTR,BCIAC-PMDB NPI is 1427215888, taxonomy code is 225XN1300X and license number is 145-026, license state is located at Wisconsin. Suellen Brueckner OTR,BCIAC-PMDB physically located at 201 N Mayfair Rd, Wauwatosa WI, 53226-4216. NPI Number Suellen Brueckner OTR,BCIAC-PMDB has the Individual type.

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1427215888 NPI number is provided on an as is basis without warranty of any kind. 1427215888 is maintained by the National Plan & Provider Enumeration System. The contents of Suellen Brueckner OTR,BCIAC-PMDB are for informational purposes only.