Individual
BRIAN D SENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.P.T
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00832100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00832100
STATE LICENSE
NJ
Enumeration date
08/20/2010
Last updated
12/09/2016
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