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BRECKEN NOELLE SCHALLER TINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
5577 MONROE ST STE A1, SYLVANIA, OH 43560-2565
(419) 318-8104
(419) 540-9067
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6250
(630) 575-7450

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501019463
MI
225100000X
Physical Therapist
PENDING
MI
225100000X
Physical Therapist
Primary
PT018372
OH

Other

Enumeration date
12/05/2019
Last updated
11/18/2021
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