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1093084501
SUSAN A BRANDT
MILWAUKEE, WI
NPI
1093084501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 1578-27)
Enumeration Date
2011-12-29
Last Update Date
2011-12-29
Business Address
-- SUSAN A BRANDT OTA
2448 S 102ND ST STE 340
MILWAUKEE, WI 53227-2147
Phone number: 800-776-7016
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Mailing Address
-- SUSAN A BRANDT OTA
904 BLAINE ST
EDGERTON, WI 53534-1204
Phone number: 608-295-9686
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