Individual
DR. ADAM RAMON BRISSENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CERT. DN
Contact information
Practice address
163 MAIN ST, WAKEFIELD, RI 02879-3504
(401) 782-4049
(401) 782-0890
Mailing address
1307 E PROSPECT RD, SUITE 120, FORT COLLINS, CO 80525-1187
(970) 568-8461
(970) 460-0136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0013158
CO
225100000X
Physical Therapist
Primary
PT02966
RI
Other
Enumeration date
03/16/2015
Last updated
07/23/2021
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