Individual
BRANDI S FENWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6620 POLLACK AVE, EVANSVILLE, IN 47715-6135
(812) 589-9563
Mailing address
6620 POLLACK AVE, EVANSVILLE, IN 47715-6135
(812) 589-9563
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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