Individual
BREANNE N BERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
1475 W GRAND AVE, PORT WASHINGTON, WI 53074-2074
(262) 268-5100
Mailing address
1475 W GRAND AVE, PORT WASHINGTON, WI 53074-2074
(262) 268-5100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13882
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06152018736054
—
WI
Enumeration date
06/15/2018
Last updated
01/04/2022
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