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Individual

NICOLE BRENK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
304 MAIN ST STE A, FARMINGTON, CT 06032-2985
(860) 674-1824
Mailing address
9 COBBLESTONE RD, BURLINGTON, CT 06013-2614
(860) 877-3720

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009141
CT

Other

Enumeration date
12/23/2011
Last updated
09/14/2020
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