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Individual

DR. BRENT LAGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT.

Contact information

Practice address
590 PIT RD, BROWNSBURG, IN 46112-7830
(317) 415-6040
Mailing address
590 PIT RD, BROWNSBURG, IN 46112-7830

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015153A
IN
225100000X
Physical Therapist
16449-24
WI

Other

Enumeration date
10/06/2023
Last updated
10/17/2024
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