Individual
DEBRA HALLENBAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 795-1717
Mailing address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 795-1717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004274
CT
Other
Enumeration date
11/13/2006
Last updated
05/27/2022
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