Individual
JILL BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 NE 27TH ST, BEND, OR 97701-9548
(541) 382-0479
Mailing address
8433 GENEVA ST, JASPER, MI 49248-9611
(517) 403-0197
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-3955
OH
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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