Individual
MRS. DIANNE MARY BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
100 W GORE ST, ORLANDO, FL 32806-1044
(407) 835-8818
Mailing address
13562 OLD DOCK RD, ORLANDO, FL 32828-6198
(407) 243-2395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT23224
FL
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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