Individual
BRENDA P CENTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1738 SPLIT FORK DR, OLDSMAR, FL 34677-2767
(727) 488-1856
(813) 412-1693
Mailing address
1738 SPLIT FORK DR, OLDSMAR, FL 34677-2767
(727) 488-1856
(813) 412-1693
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886401200
—
FL
Enumeration date
01/27/2012
Last updated
01/27/2012
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