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Individual

EILEEN BRENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3180 DREDGE DR STE F, HELENA, MT 59602-0561
(406) 449-0654
(406) 449-0516
Mailing address
3180 DREDGE DR STE F, HELENA, MT 59602-0561
(406) 449-0654
(406) 449-0516

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4324
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4324
STATE LICENSE
MT
Enumeration date
06/05/2012
Last updated
06/05/2012
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