Individual
BREANNA MAREE DUSO
Active
Individual
BREANNA MAREE DUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
295488
CA
225100000X
Physical Therapist
5501019252
MI
225100000X
Physical Therapist
Primary
P23621
NC
Other
Enumeration date
04/22/2019
Last updated
10/07/2024
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