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Individual

BRENNA DUBICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1241 S GLENDALE AVE STE 203, GLENDALE, CA 91205-3388
(510) 440-1383
Mailing address
1360 N 12TH PL APT 14, STURGEON BAY, WI 54235-3120
(920) 493-7675

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT304991
CA

Other

Enumeration date
12/21/2023
Last updated
12/21/2023
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