Individual
BRECKEN PAIGE HENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 MEDICINE CIRCLE CLINIC 1I, DURHAM, NC 27710-0001
(919) 684-3451
Mailing address
1700 WHEELING ST, AURORA, CO 80045-7211
(303) 399-8020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9091
NC
Other
Enumeration date
07/28/2010
Last updated
01/13/2022
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