Individual
BRENNA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3450 WIMBLEDON DR, PENSACOLA, FL 32504-4503
(850) 549-9381
Mailing address
1715 PACIFIC AVE, ABERDEEN, WA 98520-5551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT41163
FL
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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