Individual
MRS. CHRISTINA DONELAN BRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
865 OLD CANYON RD, FREMONT, CA 94536-1730
(650) 703-5707
Mailing address
865 OLD CANYON RD, FREMONT, CA 94536-1730
(650) 703-5707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8748
CA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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