Individual
BRIANNE THURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 N FEDERAL HWY, SUITE 2 SOUTH, POMPANO BEACH, FL 33064-6519
(888) 880-9270
(954) 342-0273
Mailing address
7201 IDLEWILD RD, FLEETWOOD, NC 28626-9477
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72214
EIN
—
Enumeration date
01/29/2013
Last updated
01/29/2013
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