Individual
BRENT PRIVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
937 FRANKLIN BLVD, LEMOORE, CA 93246-4700
(559) 998-4455
Mailing address
603 7TH ST STE 203, LAUREL, MD 20707-3958
(301) 490-0080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36539
CA
Other
Enumeration date
05/18/2010
Last updated
11/21/2024
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