NPI 1033565544

Philip John Brereton, CO

Practitioner Orthotist Stockton, CA

Practice location

Address: 466 E Harding Way, Stockton, CA 95204
Phone: (209) 466-2546
Mailing address: 961 Matley Ln STE 100, Reno, NV 89502-2100

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence C52250 (NV)

Other Orthotist providers in California →

Registry record

NPI: 1033565544
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 May 2016
Record last updated: 13 May 2016

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.