Individual
BRENNAN EHLINGER VISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
1130D SNOW BRIDGE LN, KERNERSVILLE, NC 27284-8411
(336) 904-0467
Mailing address
1130D SNOW BRIDGE LN, KERNERSVILLE, NC 27284-8411
13364041684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17401
NC
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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