Individual
BRENNON LEE MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3311 TOLEDO TER STE A1, HYATTSVILLE, MD 20782-4136
(301) 853-0093
(301) 853-0096
Mailing address
14205 PARK CENTER DR STE 204, LAUREL, MD 20707-5252
(301) 853-0093
(301) 853-0096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305210909
VA
225100000X
Physical Therapist
Primary
26482
MD
Other
Enumeration date
08/31/2017
Last updated
07/22/2022
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