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Individual

MS. LISANE M BRENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
5500 KNOLL NORTH DR, SUITE 230, COLUMBIA, MD 21045-2209
(410) 964-9650
(410) 964-9653
Mailing address
5500 KNOLL NORTH DR, SUITE 230, COLUMBIA, MD 21045-2209
(410) 964-9650
(410) 964-9653

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T-5964
MD

Other

Enumeration date
05/31/2007
Last updated
07/08/2007
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