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Individual

BRIAN OPDENHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
12402 INDUSTRIAL BLVD, SUITE B2, VICTORVILLE, CA 92395-5871
(760) 955-6061
(760) 955-6062
Mailing address
24630 WASHINGTON AVE, SUITE 200, MURRIETA, CA 92562-6131
(951) 696-9353
(951) 973-7216

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
291477
CA

Other

Enumeration date
06/16/2016
Last updated
09/07/2016
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