Individual
BRENNEN JAQUINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
535 E MAIN ST, EVANSVILLE, WI 53536-1177
(608) 882-9080
Mailing address
535 E MAIN ST, EVANSVILLE, WI 53536-1177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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