Individual
LAURA ELLEN BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
4180 TITTABAWASSEE RD, SAGINAW, MI 48604-9413
(989) 607-1500
Mailing address
4180 TITTABAWASSEE RD, SAGINAW, MI 48604-9413
(989) 607-1500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004522
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1572167
—
MI
Enumeration date
02/27/2018
Last updated
02/27/2018
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