Individual
BRENDA LEE PEEBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
546 GWYNN ST, GREEN BAY, WI 54301-1079
(920) 330-9181
Mailing address
546 GWYNN ST, GREEN BAY, WI 54301-1079
(920) 330-9181
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
625-019
WI
Other
Enumeration date
10/25/2008
Last updated
10/25/2008
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