Individual
BRENDON WIDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
DPT, PT
Contact information
Practice address
965 EMERSON PKWY STE G, GREENWOOD, IN 46143-6274
(317) 324-3765
Mailing address
965 EMERSON PKWY STE G, GREENWOOD, IN 46143-6274
(317) 324-3765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013480A
IN
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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