Individual
ALEXANDRA PETENBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1838 GREENE TREE RD, PIKESVILLE, MD 21208-6391
(410) 753-3317
Mailing address
1234 OLD FRIDINGER MILL RD, WESTMINSTER, MD 21157-3335
(240) 409-7915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28742
MD
225100000X
Physical Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/08/2020
Last updated
12/21/2023
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