Individual
BRIAN THOMAS SIMRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7419 33RD AVE, KENOSHA, WI 53142-4431
(714) 604-5238
Mailing address
7419 33RD AVE, KENOSHA, WI 53142-4431
(714) 604-5238
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4127-19
WI
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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