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Individual

BRENNEN HOWARD BETTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
101 E FLORIDA AVE, MELBOURNE, FL 32901-8301
(760) 547-3031
Mailing address
794 WHITE PINE AVE, ROCKLEDGE, FL 32955-8131
(760) 547-3031

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36978
FL

Other

Enumeration date
02/12/2021
Last updated
12/06/2021
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