NPI 1013031418

Tracy a Hennemann, PT

Practitioner Physical Therapist Brandon, FL

Practice location

Address: 116 E Bloomingdale Ave, Brandon, FL 33511-8101
Phone: (891) 365-5334
Fax: (813) 653-0894

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT23000 (FL)

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Registry record

NPI: 1013031418
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.