Individual
BRENT WAYNE MCBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
109 W EMPIRE ST, GALENA, KS 66739-1013
(620) 783-2755
Mailing address
7540 N 19TH AVE, PHOENIX, AZ 85021-7967
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1401869
KS
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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