Kevin Robert Bresnahan PT

NPI 1043295124 - Physical Therapist - 225100000X

NPI Details
NPI 1043295124
Gender Male
Enumeration Date 12/12/2005
Last Updated 04/20/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
10225 AUSTIN DRIVE
# 204
SPRING VALLEY CA, 91978, US
Phone (619) 670-4567
Fax (619) 670-0200
Business Location
317 N EL CAMINO REAL
#210
ENCINITAS CA, 92024-2811, US
Phone (760) 634-0248
Fax (760) 634-1782
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT 14228
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According to our database, Kevin Robert Bresnahan PT NPI is 1043295124, taxonomy code is 225100000X and license number is PT 14228, license state is located at California. Kevin Robert Bresnahan PT physically located at 10225 Austin Drive, Spring Valley CA, 91978. NPI Number Kevin Robert Bresnahan PT has the Individual type.

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1043295124 NPI number is provided on an as is basis without warranty of any kind. 1043295124 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Robert Bresnahan PT are for informational purposes only.