Individual
BRENT A. HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2640 INDUSTRY WAY, LYNWOOD, CA 90262-4284
(310) 639-5983
Mailing address
2640 INDUSTRY WAY, LYNWOOD, CA 90262-4284
(310) 639-5983
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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