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Individual

KELSEA SCOTT BRICENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
(888) 531-2204
Mailing address
2308 BEAUFORT AVE, TOLEDO, OH 43613-4912
(419) 215-6589

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011765
OH

Other

Enumeration date
02/12/2024
Last updated
02/12/2024
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