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Contact Information

KEVIN R BRESNAHAN, PT
10225 AUSTIN DRIVE
# 204
SPRING VALLEY, CA91978
 Phone: 619-670-4567
 Fax: 619-670-0200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KEVIN R BRESNAHAN · (Male)

NPI # 1043295124
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 12/12/2005
Last updated 04/20/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PT 14228
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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