Individual
BRENT EENIGENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATP
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
ATP 7744
TX
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
ATP 7744
TX
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
ATP 7744
TX
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
ATP 7744
TX
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/16/2014
Last updated
05/06/2020
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