Brissel, Magan Renee

Brissel, Magan Renee is an individual health care provider with primary practice located at 1842 Wilma Rudoph Blvd , Clarksville TN 37040. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Brissel, Magan Renee can be contacted via phone (931) 906-0440.

Contact Information

Primary practice address
1842 Wilma Rudoph Blvd Clarksville TN 37040
Phone: (931) 906-0440
Fax: (931) 920-5070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 1573 Tennessee

Profile Details

NPI number 1710169347
LBN Legal business name Brissel, Magan Renee
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2007
Last updated Dec 5th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710169347 NPPES
Tennessee Other 1573 LICENSE TN

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