Individual
BRITA MACKERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1630 CAMINO OLMO APT H, NEWBURY PARK, CA 91320-5935
(805) 630-1041
Mailing address
1630 CAMINO OLMO APT H, NEWBURY PARK, CA 91320-5935
(805) 630-1041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
295233
CA
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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