Individual
MS. LAUREN MICHELLE BRETIENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 RANDALL DR, PIKETON, OH 45661-8133
(740) 222-1192
Mailing address
132 RANDALL DR, PIKETON, OH 45661-8133
(740) 222-1192
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
CP024527A
NH
2255A2300X
Athletic Trainer
004096
OH
Other
Enumeration date
07/08/2013
Last updated
08/28/2023
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