Benjamin John Brenna P.T.

NPI 1063471498 - Physical Therapist - 225100000X

NPI Details
NPI 1063471498
Gender Male
Enumeration Date 03/23/2006
Last Updated 07/09/2012
Entity Type Individual
Active Over 12 years ago
Practice Location
205 OAK ST
TURTLE LAKE WI, 54889-8929, US
Phone (715) 986-2022
Fax (715) 986-2236
Business Location
1110 7TH AVE
CUMBERLAND WI, 54829-9138, US
Phone (715) 822-6167
Fax (715) 822-6142
Taxonomy Code 225100000X
License State Wisconsin
License Number 5791-024
Remove 1063471498 NPI Number

According to our database, Benjamin John Brenna P.T. NPI is 1063471498, taxonomy code is 225100000X and license number is 5791-024, license state is located at Wisconsin. Benjamin John Brenna P.T. physically located at 205 Oak St, Turtle Lake WI, 54889-8929. NPI Number Benjamin John Brenna P.T. has the Individual type.

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1063471498 NPI number is provided on an as is basis without warranty of any kind. 1063471498 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin John Brenna P.T. are for informational purposes only.