Individual
BREANNA LONGENETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5833 W I 20, ARLINGTON, TX 76017-1057
(817) 516-1115
(817) 516-1104
Mailing address
9629 OLIVIA DR, FORT WORTH, TX 76108-3877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1321249
TX
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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