Individual
LAURIE BETH BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
670 LINWOOD AVE STE 2, WHITINSVILLE, MA 01588-2068
(508) 234-7544
(508) 234-8002
Mailing address
670 LINWOOD AVE, STE 2, WHITINSVILLE, MA 01588-2068
(508) 791-8740
(508) 752-3716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16784
MA
225100000X
Physical Therapist
PT1307
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411874
RI BLUE CHIP PIN
RI
Enumeration date
07/19/2006
Last updated
02/17/2021
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