Individual
DR. KATHLEEN MICHELLE BRINEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
Mailing address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012521A
IN
2251P0200X
Pediatric Physical Therapist
05012521A
IN
Other
Enumeration date
06/06/2017
Last updated
03/15/2019
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