Individual
DR. ANDREA JAE BRENNGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC, CSCS
Contact information
Practice address
2901 WILSHIRE BLVD STE 440, SANTA MONICA, CA 90403-4913
(310) 315-9711
Mailing address
13900 TAHITI WAY APT 125, MARINA DEL REY, CA 90292-6571
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
33816
CA
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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