Individual
MS. BRENDA LEE KLINGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
W758 NORWAY DR, FALL RIVER, WI 53932-8919
(920) 484-3363
Mailing address
W758 NORWAY DR, FALL RIVER, WI 53932-8919
(920) 484-3363
Taxonomy
Speciality
Code
Description
License number
State
2278S1500X
SNF/Subacute Care Certified Respiratory Therapist
Primary
240019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40029100
—
WI
Enumeration date
06/20/2007
Last updated
06/03/2008
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