NPI 1033895362

Brenna Marie Lieburn, COTA

Practitioner Occupational Therapy Assistant Sheboygan, WI

Practice location

Address: 1125 N 13th St, Sheboygan, WI 53081-3281
Phone: (920) 803-1617

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 7074 (WI)

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Registry record

NPI: 1033895362
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2023
Record last updated: 22 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.