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1114659505
ELLIE NICOLE BRENDEL
DUNN, NC
NPI
1114659505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2022-06-26
Last Update Date
2022-06-26
Business Address
ELLIE NICOLE BRENDEL OTR/L
604 LUCAS RD
DUNN, NC 28334-6623
Phone number: 910-891-4600
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Mailing Address
ELLIE NICOLE BRENDEL OTR/L
21812 S BRANDON ST
FARMINGTON HILLS, MI 48336-6004
Phone number: 248-977-8338
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