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Individual

BRENT ALAN EHRESMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
750 N SOCORA ST STE 200, WICHITA, KS 67212-3794
(316) 260-3311
Mailing address
12627 E CENTRAL AVE STE 308, WICHITA, KS 67206-2839
(316) 260-3311
(316) 613-3774

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06784
KS
225100000X
Physical Therapist
T-05496
KS
225100000X
Physical Therapist

Other

Enumeration date
05/10/2021
Last updated
10/24/2022
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