Individual
BRENNA M BARZENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1100 C M FAGAN DR, SUITE 103, HAMMOND, LA 70403-5938
(985) 542-6664
(985) 542-6428
Mailing address
1100 C M FAGAN DR, SUITE 103, HAMMOND, LA 70403-5938
(985) 542-6664
(985) 542-6428
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02217
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3657
BLUE CROSS
LA
Enumeration date
07/10/2006
Last updated
04/29/2011
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