Individual
BRENNAN MICHAEL NEWBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N STEPHANIE ST STE 310, HENDERSON, NV 89014-6608
(702) 454-1162
Mailing address
400 N STEPHANIE ST STE 310, HENDERSON, NV 89014-6608
(702) 454-1162
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2945
NV
Other
Enumeration date
03/14/2022
Last updated
03/16/2022
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