Individual
BREANNA M VRETENAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4523 N 107TH ST, WAUWATOSA, WI 53225-4526
(920) 342-1675
Mailing address
12430 W EUCLID AVE APT 3, NEW BERLIN, WI 53151-4662
(920) 342-1675
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2676-19
WI
225700000X
Massage Therapist
13256-146
WI
Other
Enumeration date
07/26/2021
Last updated
09/16/2022
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