Individual
BREN HILLARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15906 PARKHOUSE DR, FONTANA, CA 92336-6501
(909) 782-2901
(909) 587-2346
Mailing address
15906 PARKHOUSE DR, FONTANA, CA 92336-6501
(909) 782-2901
(909) 587-2346
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8734
CA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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